Active NPI
Jesse Alexander Phlegar, DPT
- Physical Therapist
- Fayetteville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- CP057810T
- Practice address
- 1991 Fordham Dr Ste 102
Fayetteville, NC 28304-3774 - Phone
- (910) 484-4653
- Fax
- (910) 483-9256
- NPI assigned
- May 17, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | CP057810T | NC | Primary |
| Physical Therapist | 225100000X | PT031256 | PA |
Addresses
Primary practice location
1991 Fordham Dr Ste 102
Fayetteville, NC 28304-3774
Mailing address
1991 Fordham Dr Ste 102
Fayetteville, NC 28304-3774
Phone (910) 484-4653
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
121 Cranberry Rd
Grove City, PA 16127-4629
Phone (724) 458-9473
1991 Fordham Dr
Suite 102
Fayetteville, NC 28304-3774
Phone (910) 484-4653
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP057810T | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wise Physical Therapy and Sports Medicine LLC | Physical Therapist | Current | Accepting new patients |
| Kuzma Physical Therapy and Sports Medicine LLC | Physical Therapist | Past | Accepting new patients |
Locations
121 Cranberry Rd
Grove City, PA 16127
Phone (724) 458-9473
110 Arrowhead Dr
Slippery Rock, PA 16057
Phone (724) 406-0506
110 Arrowhead Dr
Ste 200
Slippery Rock, PA 16057
Phone (724) 406-0506
Organizations & group practices 3
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.
-
- Physical Therapist
- Grove City, PA
- NPI 1558488007
-
- Orthopaedic Surgery Physician
- Fayetteville, NC
- NPI 1235957655
-
- Physical Therapy Clinic/Center
- Waterford, PA
- NPI 1366081168
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785715200000",
"number": "1063103273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1991 FORDHAM DR STE 102",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283043774",
"telephone_number": "910-484-4653",
"fax_number": "910-483-9256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1991 FORDHAM DR STE 102",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283043774",
"telephone_number": "910-484-4653",
"fax_number": "910-483-9256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHLEGAR",
"first_name": "JESSE",
"middle_name": "ALEXANDER",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-17",
"last_updated": "2026-08-03",
"certification_date": "2026-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "CP057810T",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT031256",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; 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.