Jeffrey James Faulk Jr., P.T.

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

4363 Issued in NC

Practice address

889 Sherwood LN
Statesville, NC 28677-4183

Phone

(704) 881-0088

Fax

(704) 881-0087

NPI assigned

Oct 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carolina Rehab IncorporationGroup PAC ID 3173592581, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Carolina Rehab Incorporation

  • Physical Therapist
  • Statesville, NC
  • NPI 1972633956
  Medicare reassignment Care Compare group NPD
• Osprey Rehabilitation, LLC.

  dba NovaCare Rehabilitation

  • Physical Therapy Clinic/Center
  • Cape May Court House, NJ
  • NPI 1780395806
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300752000000",
    "number": "1235214180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "889 SHERWOOD LN",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286774183",
            "telephone_number": "704-881-0088",
            "fax_number": "704-881-0087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "889 SHERWOOD LN",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286774183",
            "telephone_number": "704-881-0088",
            "fax_number": "704-881-0087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAULK",
        "first_name": "JEFFREY",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2011-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NC",
            "license": "4363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7207891",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Family Pharmacy of Statesville, Inc. (Family Pharmacy of Statesville)
• Ashley Farr
• Donald Lewis Farris, LPC
• Michael Keith Farris, MD
• Nicholas Fasciano
• Angela Bogle Faust, PTA
• Brett Lawrence Feldman, MD
• Dana Shumate Felts, PA-C
• Jordan Michael Ferrage, D.D.S.
• Carly Filiault

• Orthopedic Physical Therapist in Statesville, NC
• Providers in Statesville, NC by specialty
• Orthopedic Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.