Individual provider Active NPI

Jean G. Jones, PT

  • Physical Therapist
  • Greensboro, NC
National Provider Identifier
1194297168
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P20655 Issued in NC
Practice address
3004 Dexter Ave
Greensboro, NC 27407-3616
Phone
(365) 530-2723
Fax
(336) 553-0651
NPI assigned
Jan 1, 2019
Last updated
Aug 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X P20655 NC
Physical Therapist 225100000X P20655 NC Primary

Addresses

Primary practice location

3004 Dexter Ave
Greensboro, NC 27407-3616

Mailing address

810 James Doak Pkwy
Greensboro, NC 27455-8305
Phone (678) 592-8679

Other practice location 1

5918 Netfield Rd
Greensboro, NC 27455-9245
Phone (365) 533-9173

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231012000153 NC Practitioner - Physical Therapist in Private Practice 4688029523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paragon Outpatient Rehabilitation Services LLCGroup PAC ID 8022272848, 199 clinicians

Practice addresses (Care Compare)

3004 Dexter Ave
Greensboro, NC 27407-3616
Phone (317) 900-6225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Outpatient Rehabilitation Services, LLC CurrentSince Aug 1, 2023 Accepting new patients
Paragon Outpatient Rehabilitation Services, LLC Physical Therapist CurrentSince Aug 1, 2023 Accepting new patients

Locations

3004 Dexter Ave
Greensboro, NC 27407
Phone (336) 292-1349

5918 Netfield Rd
Greensboro, NC 27455
Phone (336) 554-7753

2605 Swallow Rd
Rm 201
Reidsville, NC 27320
Phone (704) 251-2602

Organizations & group practices 2

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": "1546300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1194297168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 JAMES DOAK PKWY",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274558305",
            "telephone_number": "678-592-8679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3004 DEXTER AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274073616",
            "telephone_number": "365-530-2723",
            "fax_number": "336-553-0651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5918 Netfield Rd",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274559245",
            "country_code": "US",
            "telephone_number": "365-533-9173",
            "fax_number": "336-553-3920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "JEAN",
        "middle_name": "G.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-01",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "NC",
            "license": "P20655",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P20655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 28, 2023; 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.