Active NPI
Jacqueline Louise De Senglau, PT, DPT
- Physical Therapist
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 16113
- Practice address
- 809 Springmoor Dr
Raleigh, NC 27615-7739 - Phone
- (919) 848-7125
- NPI assigned
- Feb 25, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | |||
| Massage Therapist | 225700000X | 10308 | NC | |
| Physical Therapist | 225100000X | 16113 | NC | Primary |
Addresses
Primary practice location
809 Springmoor Dr
Raleigh, NC 27615-7739
Mailing address
1019 Moreland Ave
Durham, NC 27707-1255
Phone (443) 844-2962
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3708 Mayfair St
Suite 120
Durham, NC 27707-6223
Phone (984) 215-4970
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10308 | NC | MD | Occupational Therapist |
| 16113 | NC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of North Carolina Hospitals at Chapel Hill | Current | Accepting new patients | |
| University of North Carolina Hospitals at Chapel Hill | Current | Accepting new patients | |
| University of North Carolina Hospitals at Chapel Hill | Physical Therapist | Current | Accepting new patients |
| University of North Carolina Hospitals at Chapel Hill | Past | Accepting new patients |
Locations
100 Sprunt St
Chapel Hill, NC 27517
Phone (919) 843-2164
3708 Mayfair St
Ste 120
Durham, NC 27707
Phone (984) 215-4780
5221 Paramount Pkwy
Ste 440
Morrisville, NC 27560
Phone (984) 974-1183
Organizations & group practices 4
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.
-
- Interventional Cardiology Physician
- Chapel Hill, NC
- NPI 1568070308
NC
-
- Community/Retail Pharmacy
- Morrisville, NC
- NPI 1134928542
-
- Physical Therapist
- Chapel Hill, NC
- NPI 1245633387
-
- Pediatric Nutrition Registered Dietitian
- Chapel Hill, NC
- NPI 1861415804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723507200000",
"number": "1063872646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1019 MORELAND AVE",
"city": "DURHAM",
"state": "NC",
"postal_code": "277071255",
"telephone_number": "443-844-2962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "809 SPRINGMOOR DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276157739",
"telephone_number": "919-848-7125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE SENGLAU",
"first_name": "JACQUELINE",
"middle_name": "LOUISE",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-25",
"last_updated": "2024-08-13",
"certification_date": "2024-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": null,
"license": null,
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NC",
"license": "10308",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "16113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.