Individual provider Active NPI

Robert Nicholas Jones, PT, DPT

  • Physical Therapist
  • Hendersonville, NC
National Provider Identifier
1053920868
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P21808 Issued in NC
Practice address
101 E Allen St Ste 103
Hendersonville, NC 28792-5091
Phone
(828) 417-0160
Fax
(828) 417-3151
NPI assigned
Jul 28, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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 P21808 NC Primary

Addresses

Primary practice location

101 E Allen St Ste 103
Hendersonville, NC 28792-5091

Mailing address

408 Higuera St Ste 200
San Luis Obispo, CA 93401-6135
Phone (805) 788-0805

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230110001185 NC Practitioner - Physical Therapist in Private Practice 7719357649 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Mercer University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Specialized Physical Therapy of the Carolinas LLCGroup PAC ID 6103134192, 44 clinicians

Practice addresses (Care Compare)

101 E Allen St
Suite 103
Hendersonville, NC 28792-5091
Phone (828) 417-0160

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P21808NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Specialized Physical Therapy of the Carolinas LLC Physical Therapist CurrentSince Dec 1, 2022 Accepting new patients
Specialized Physical Therapy of the Carolinas, LLC Physical Therapist CurrentSince Dec 1, 2022 Accepting new patients

Locations

408 Higuera St
Ste 200
Sn Luis Obisp, CA 93401

1106 Walnut St
Ste 110
Sn Luis Obisp, CA 93401
Phone (805) 788-0805

20 Gala Dr
Ste G104
Asheville, NC 28803
Phone (828) 484-4200

20 Gala Dr
#G104
Asheville, NC 28803
Phone (828) 484-4200

101 E Allen St
Ste 103
Hendersonville, NC 28792
Phone (828) 417-0160

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": "1595894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1053920868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 HIGUERA ST STE 200",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934016135",
            "telephone_number": "805-788-0805",
            "fax_number": "805-788-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E ALLEN ST STE 103",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287925091",
            "telephone_number": "828-417-0160",
            "fax_number": "828-417-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "ROBERT",
        "middle_name": "NICHOLAS",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-28",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P21808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.