Active NPI
Richard Allen Jenkins, PTA
- Physical Therapy Assistant
- Clyde, NC
National Provider Identifier
1326327545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2577
- Practice address
- 105 Timberwood LN
Clyde, NC 28721-8108 - Phone
- (828) 246-2403
- NPI assigned
- Aug 4, 2011
- Sex
- Male
- 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 Therapy Assistant | 225200000X | 2577 | NC | Primary |
Addresses
Primary practice location
105 Timberwood LN
Clyde, NC 28721-8108
Mailing address
105 Timberwood LN
Clyde, NC 28721-8108
Phone (828) 246-2403
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 |
|---|---|---|---|
| 2577 | NC | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312416000000",
"number": "1326327545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 TIMBERWOOD LN",
"city": "CLYDE",
"state": "NC",
"postal_code": "287218108",
"telephone_number": "828-246-2403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 TIMBERWOOD LN",
"city": "CLYDE",
"state": "NC",
"postal_code": "287218108",
"telephone_number": "828-246-2403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "RICHARD",
"middle_name": "ALLEN",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-04",
"last_updated": "2011-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NC",
"license": "2577",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clyde, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.