Active NPI
Jennifer Fincham, PT
- Physical Therapist
- New Bern, NC
National Provider Identifier
1275367161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11080
- Practice address
- 836 Ray Leggett Way
New Bern, NC 28560-3445 - Phone
- (252) 638-6001
- NPI assigned
- Sep 2, 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 | 11080 | NC | Primary |
Addresses
Primary practice location
836 Ray Leggett Way
New Bern, NC 28560-3445
Mailing address
112 Faldo LN
New Bern, NC 28560-8935
Phone (858) 776-6109
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 |
|---|---|---|---|
| 11080 | NC | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725235200000",
"number": "1275367161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 FALDO LN",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285608935",
"telephone_number": "858-776-6109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "836 RAY LEGGETT WAY",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285603445",
"telephone_number": "252-638-6001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FINCHAM",
"first_name": "JENNIFER",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-02",
"last_updated": "2024-09-02",
"certification_date": "2024-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "11080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Bern, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.