Individual provider Active NPI

Jessica Haney

  • Physical Rehabilitation Occupational Therapist
  • Camp Lejeune, NC
National Provider Identifier
1275922353
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
License
9525 Issued in NC
Practice address
100 Brewster Blvd
Naval Hospital
Camp Lejeune, NC 28547-2538
Phone
(910) 450-3095
NPI assigned
Jan 13, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Rehabilitation Occupational Therapist 225XP0019X 9525 NC Primary

Addresses

Primary practice location

100 Brewster Blvd
Naval Hospital
Camp Lejeune, NC 28547-2538

Mailing address

100 Brewster Blvd
Camp Lejeune, NC 28547-2538

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240807001492 NC Practitioner - Occupational Therapist in Private Practice 9234676321 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1092 Hampton Inn Way
Suite 500
Jacksonville, NC 28546-7639
Phone (910) 500-6882

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Physical Therapy of North Carolina LLC CurrentSince Jun 17, 2024 Accepting new patients
Agilitas USA Inc CurrentSince Jun 17, 2024 Accepting new patients
Agilitas USA, Inc Physical Rehabilitation CurrentSince Jun 17, 2024 Accepting new patients
Drayer Physical Therapy of North Carolina LLC Physical Rehabilitation CurrentSince Jun 17, 2024 Accepting new patients
Benchmark Physical Therapy of NC, LLC CurrentSince Jun 17, 2024 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1092 Hampton Inn Way
Ste 500
Jacksonville, NC 28546
Phone (910) 500-6882

10020 Monroe Rd
Ste 160
Matthews, NC 28105
Phone (704) 841-0894

1901 NW Cary Pkwy
Ste 110
Morrisville, NC 27560
Phone (919) 678-1525

1520 Sunday Dr
Ste 105
Raleigh, NC 27607
Phone (919) 420-1682

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1421107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1275922353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BREWSTER BLVD",
            "city": "CAMP LEJEUNE",
            "state": "NC",
            "postal_code": "285472538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BREWSTER BLVD",
            "address_2": "NAVAL HOSPITAL",
            "city": "CAMP LEJEUNE",
            "state": "NC",
            "postal_code": "285472538",
            "telephone_number": "910-450-3095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANEY",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-13",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "NC",
            "license": "9525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Lejeune, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; 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.