Individual provider Active NPI

Jitka Helmus, DPT

  • Physical Therapist
  • Winston Salem, NC
National Provider Identifier
1053512145
Registry record updated Apr 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9313 Issued in NC
Practice address
2401 Fairway Dr
Winston Salem, NC 27103-3508
Phone
(336) 631-9013
NPI assigned
May 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 9313 NC Primary

Addresses

Primary practice location

2401 Fairway Dr
Winston Salem, NC 27103-3508

Mailing address

515 S Hawthorne Rd
Winston Salem, NC 27103-3782
Phone (336) 682-8127

Other practice location 1

1541 Westbrook Plaza Dr
Winston Salem, NC 27103-1329
Phone (336) 765-4703

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9313NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Chandler Physical Therapy & Sports Rehab, LLC PastSince Aug 30, 2010 Accepting new patients
Breakthrough Physical Therapy Physical Therapist Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554163200000",
    "number": "1053512145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 S HAWTHORNE RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033782",
            "telephone_number": "336-682-8127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 FAIRWAY DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033508",
            "telephone_number": "336-631-9013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1541 Westbrook Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271031329",
            "country_code": "US",
            "telephone_number": "336-765-4703",
            "fax_number": "336-765-1396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HELMUS",
        "first_name": "JITKA",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2019-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "9313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.