Alexis Divine James

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

910 E Main St
Lincolnton, NC 28092-3449

Phone

(704) 748-0616

NPI assigned

Feb 2, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Comprehab LLC

  • Physical Therapist
  • Gastonia, NC
  • NPI 1407932775
  NPD (past)
• Complete Rehabilitation and Sports Physical Therapy, PC

  • Physical Therapist
  • Ronkonkoma, NY
  • NPI 1811097306
  NPD (past)

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

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1053902890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905A LINNEY LN",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281526411",
            "telephone_number": "980-585-8125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 E MAIN ST",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280923449",
            "telephone_number": "704-748-0616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "905A Linney Ln",
            "address_purpose": "LOCATION",
            "city": "Shelby",
            "state": "NC",
            "postal_code": "281526411",
            "country_code": "US",
            "telephone_number": "980-585-8125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAMES",
        "first_name": "ALEXIS",
        "middle_name": "DIVINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-02",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ingles Markets Inc
• Debbie Inman, LPTA
• Instride Foot and Ankle Specialists, PLLC
• Integrated Care of Greater Hickory, Inc
• Integrated Care of Greater Hickory, Inc
• Nirmala Janardhanam, M.D.
• Emily Janicki, DC
• Taner Jarrett
• Jla Counseling PC
• John L. Cloninger, DDS. PA

• Athletic Trainer in Lincolnton, NC
• Providers in Lincolnton, NC by specialty
• Athletic Trainer in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.