Active NPI
Jubeth Concepcion
- Physical Therapist
- Elizabeth City, NC
National Provider Identifier
1275952616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P14085
- Practice address
- 901 Halstead Blvd
Elizabeth City, NC 27909-6920 - Phone
- (615) 354-3207
- NPI assigned
- Apr 14, 2014
- Last updated
- Apr 14, 2014
- 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 | P14085 | NC | Primary |
Addresses
Primary practice location
901 Halstead Blvd
Elizabeth City, NC 27909-6920
Mailing address
1300 Eastway St Apt D
Elizabeth City, NC 27909-6962
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 |
|---|---|---|---|
| P14085 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397433600000",
"number": "1275952616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 EASTWAY ST APT D",
"city": "ELIZABETH CITY",
"state": "NC",
"postal_code": "279096962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 HALSTEAD BLVD",
"city": "ELIZABETH CITY",
"state": "NC",
"postal_code": "279096920",
"telephone_number": "615-354-3207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONCEPCION",
"first_name": "JUBETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-14",
"last_updated": "2014-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P14085",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elizabeth City, NC
- Briana Faith Combs
- Community Family Practice Physicians
- Community Hospitalists of North Carolina, PC
- Community Medical Equipment & Services Inc
- Comprehensive Rehabilitation & Pain Specialists, P.C.
- Continuum Care Corporation
- Amanda Conway, RBT
- Kaytlynne Cook, RBT
- Holly Marie Cooney, NP
- Allison Cooper, LCMHC, NCC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.