Individual provider Active NPI

Jolene L Faught, PT

  • Physical Therapist
  • Greensboro, NC
National Provider Identifier
1164729604
Registry record updated Feb 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P12969 Issued in NC
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, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2011

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 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 Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051208001006 OR Practitioner - Physical Therapist in Private Practice 4082504113 Reassigns benefits to 1 organization

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
Jackson County Physical Therapy LLPGroup PAC ID 4284615311, 12 clinicians

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

LicenseStateTypeSpecialty
P12969NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson County Physical Therapy LLP Physical Therapist CurrentSince Apr 12, 2023 Accepting new patients
Aspire Products, LLC CurrentSince Feb 1, 2022 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 PastSince Jun 1, 2010 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.

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.

Verify at the official NPI Registry.