Pro-PTJR, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PRO-PTJR, LLC

Practice address

21B Plaza Pkwy
Lexington, NC 27292-5359

Phone

(339) 858-9274

NPI assigned

Nov 14, 2019

Organization subpart

No

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

Authorized official

Name

Mary Beth Jenkins, PT, MBA

Title

Owner

Phone

(336) 964-0048

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1573689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573689600000",
    "number": "1265077010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 588",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272930588",
            "telephone_number": "336-858-9274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21B PLAZA PKWY",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272925359",
            "telephone_number": "339-858-9274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO-PTJR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-14",
        "last_updated": "2019-11-14",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "MARY BETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-964-0048",
        "authorized_official_credential": "PT, MBA"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Lexington, NC
• Providers in Lexington, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.