Active NPI
Jessie Mathers, P.T.
- Physical Therapist
- Durham, NC
National Provider Identifier
1235257296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9357
- Practice address
- Trent Drive
Clinic 1E
Durham, NC 27710 - Phone
- (919) 684-2445
- NPI assigned
- Mar 27, 2007
- 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 | 9357 | NC | Primary |
Addresses
Primary practice location
Trent Drive
Clinic 1E
Durham, NC 27710
Mailing address
111 Donna PL
Cary, NC 27513-5304
Phone (919) 465-1305
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9357 | NC | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evolution Physical Therapy and Wellness LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Cary, NC
- NPI 1124506464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224115200000",
"number": "1235257296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 DONNA PL",
"city": "CARY",
"state": "NC",
"postal_code": "275135304",
"telephone_number": "919-465-1305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "TRENT DRIVE",
"address_2": "CLINIC 1E",
"city": "DURHAM",
"state": "NC",
"postal_code": "27710",
"telephone_number": "919-684-2445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHERS",
"first_name": "JESSIE",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-27",
"last_updated": "2008-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "9357",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.