Active NPI
Jolene L Faught, PT
- Physical Therapist
- Greensboro, NC
National Provider Identifier
1164729604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P12969
- Practice address
- 1910 N Church St
Ste D
Greensboro, NC 27405-5632 - Phone
- (336) 274-7480
- Fax
- (336) 274-8903
- NPI assigned
- Feb 18, 2011
- Last updated
- Feb 18, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P12969 | NC | Primary |
Addresses
Primary practice location
1910 N Church St
Ste D
Greensboro, NC 27405-5632
Mailing address
3700 Symi Cir
Morehead City, NC 28557-4309
Phone (252) 247-2738
Other names 1
- Jolene L Schmidt
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
36 Hawthorne St
Medford, OR 97504-7114
Phone (541) 776-2666
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P12969 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson County Physical Therapy LLP | Physical Therapist | Current | Accepting new patients |
| Aspire Products, LLC | Current | Accepting new patients | |
| Breakthrough Physical Therapy | Physical Therapist | Past | Accepting new patients |
| Body Awareness Physical Therapy, Inc | Physical Therapist | Past | Accepting new patients |
| Breakthrough Physical Therapy Inc | Physical Therapist | Past | Accepting new patients |
Locations
101 Vfw Rd
Ste 2C
Swansboro, NC 28584
Phone (252) 354-6978
36 Hawthorne St
Medford, OR 97504
Phone (541) 776-2333
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Medford, OR
- NPI 1013112903
-
- Durable Medical Equipment & Medical Supplies
- Cedar Point, NC
- NPI 1255786356
-
- Physical Therapist
- Morehead City, NC
- NPI 1083937692
-
- Physical Therapist
- Cary, NC
- NPI 1558598532
-
- Physical Therapist
- Costa Mesa, CA
- NPI 1164439915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297987200000",
"number": "1164729604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3700 SYMI CIR",
"city": "MOREHEAD CITY",
"state": "NC",
"postal_code": "285574309",
"telephone_number": "252-247-2738",
"fax_number": "252-240-3882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1910 N CHURCH ST",
"address_2": "STE D",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274055632",
"telephone_number": "336-274-7480",
"fax_number": "336-274-8903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAUGHT",
"first_name": "JOLENE",
"middle_name": "L",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-18",
"last_updated": "2011-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P12969",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOLENE",
"last_name": "SCHMIDT",
"middle_name": "L",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2011; 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.