Jessica D Carson, PTA

Individual provider Active NPI Physical Therapy Assistant · Forest City, NC

NPI 1104573229 · NPPES record last updated Mar 8, 2022

Key facts

NPI
1104573229
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
A4289 (NC)
Practice address
493 Piney Ridge Rd
Forest City, NC 28043-9017
Phone
(828) 288-1171
NPI assigned
Mar 8, 2022
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
A4289NCMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X A4289 NC Yes

Addresses

Primary practice location

493 Piney Ridge Rd
Forest City, NC 28043-9017

Mailing address

164 Arlington St
Forest City, NC 28043-3780

Electronic endpoints

TypeEndpointUseAffiliation
Other URL Jessica.Carson@lhcgroup.com Direct

Other providers in Forest City, NC

All providers in Forest City, NC · Physical Therapy Assistant in North Carolina

Sources for this page

Verify at the official NPI Registry.