Individual provider Active NPI

Joel Harbolt, DPT

  • Orthopedic Physical Therapist
  • Robbinsville, NC
National Provider Identifier
1043934193
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
64490 Issued in OR
Practice address
409 Tallulah Rd
Robbinsville, NC 28771-8500
Phone
(828) 479-8320
NPI assigned
Oct 3, 2022
Last updated
Nov 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 64490 OR Primary

Addresses

Primary practice location

409 Tallulah Rd
Robbinsville, NC 28771-8500

Mailing address

315 NE Christy Dr
Hermiston, OR 97838-4006
Phone (503) 913-0877

Other practice location 1

1340 Wonder World Dr Ste 2100
San Marcos, TX 78666-7694
Phone (512) 753-3539

Other practice location 2

1561 Potomac Greens Dr Ste 1A
Alexandria, VA 22314-6255
Phone (703) 717-7667

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250320000763 CO Practitioner - Physical Therapist in Private Practice 7416479381 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
64490ORMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Village Physical Therapy, PC Orthopedic CurrentSince Oct 12, 2025 Accepting new patients
Village Physical Therapy, P.C. CurrentSince Mar 14, 2025 Accepting new patients
Village Physical Therapy, P.C. CurrentSince Mar 14, 2025 Accepting new patients
Christus Santa Rosa Health Care Corporation Past Accepting new patients
Virginia Hospital Center Arlington Health System PastSince Jan 1, 2023 Accepting new patients
Adventist Health System/Sunbelt, Inc. Past Accepting new patients
Virginia Hospital Center Arlington Health System PastSince Jan 1, 2023 Accepting new patients

Locations

5825 Delmonico Dr
Ste 300
Colorado Springs, CO 80919

1209 Paseo del Norte
Ste 3
Pueblo, CO 81008
Phone (719) 569-5691

4035A Club Manor Dr
#4
Pueblo, CO 81008
Phone (719) 562-0328

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1043934193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 NE CHRISTY DR",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978384006",
            "telephone_number": "503-913-0877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 TALLULAH RD",
            "city": "ROBBINSVILLE",
            "state": "NC",
            "postal_code": "287718500",
            "telephone_number": "828-479-8320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1340 Wonder World Dr Ste 2100",
            "address_purpose": "LOCATION",
            "city": "San Marcos",
            "state": "TX",
            "postal_code": "786667694",
            "country_code": "US",
            "telephone_number": "512-753-3539",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1561 Potomac Greens Dr Ste 1A",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223146255",
            "country_code": "US",
            "telephone_number": "703-717-7667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARBOLT",
        "first_name": "JOEL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-03",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OR",
            "license": "64490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Robbinsville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.