Active NPI
Jennifer Bromfield, DPT
- Physical Therapist
- Charlotte, NC
National Provider Identifier
1245091024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P22422
- Practice address
- 13557 Steelecroft Pkwy
Charlotte, NC 28278-0057 - Phone
- (704) 316-1850
- NPI assigned
- Jan 19, 2024
- 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 | P22422 | NC | Primary |
Addresses
Primary practice location
13557 Steelecroft Pkwy
Charlotte, NC 28278-0057
Mailing address
2630 South Blvd Apt 310
Charlotte, NC 28209-1180
Phone (864) 616-2893
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P22422 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foundation Health Systems LLC | Physical Therapist | 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
- Winston Salem, NC
- NPI 1205894029
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705622400000",
"number": "1245091024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2630 SOUTH BLVD APT 310",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282091180",
"telephone_number": "864-616-2893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13557 STEELECROFT PKWY",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282780057",
"telephone_number": "704-316-1850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROMFIELD",
"first_name": "JENNIFER",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-19",
"last_updated": "2024-01-19",
"certification_date": "2024-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P22422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.