Active NPI
Kimberly Lauren Jakubowski, DPT
- Physical Therapist
- Burlington, NC
National Provider Identifier
1295453371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P21505
- Practice address
- 1225 Huffman Mill Rd Ste 201
Burlington, NC 27215-8789 - Phone
- (336) 584-7689
- Fax
- (336) 584-8063
- NPI assigned
- Aug 16, 2022
- 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 | P21505 | NC | Primary |
Addresses
Primary practice location
1225 Huffman Mill Rd Ste 201
Burlington, NC 27215-8789
Mailing address
906 Mebane Oaks Rd
Mebane, NC 27302-7951
Phone (919) 563-1825
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P21505 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660608000000",
"number": "1295453371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "906 MEBANE OAKS RD",
"city": "MEBANE",
"state": "NC",
"postal_code": "273027951",
"telephone_number": "919-563-1825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 HUFFMAN MILL RD STE 201",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272158789",
"telephone_number": "336-584-7689",
"fax_number": "336-584-8063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAKUBOWSKI",
"first_name": "KIMBERLY",
"middle_name": "LAUREN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-16",
"last_updated": "2022-08-16",
"certification_date": "2022-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P21505",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burlington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.