Individual provider Active NPI

Jamie Lynn Tjalma, P.T.

  • Physical Therapist
  • Chapel Hill, NC
National Provider Identifier
1366547374
Registry record updated Mar 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10262 Issued in NC
Practice address
205 Sage Rd
Ste 203
Chapel Hill, NC 27514-6995
Phone
(919) 918-4171
NPI assigned
Sep 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 10262 NC Primary

Addresses

Primary practice location

205 Sage Rd
Ste 203
Chapel Hill, NC 27514-6995

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223

Other names 1

  • Miss Jamie Lynn Regulski Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080131000267 NC Practitioner - Physical Therapist in Private Practice 7113027699 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Activcare Physical Therapy, LLCGroup PAC ID 8628027471, 126 clinicians

Practice addresses (Care Compare)

2301 Battleground Ave
Suite 103
Greensboro, NC 27408-5425
Phone (336) 665-8445

Merit-based Incentive Payment System (MIPS)

Final score
88.67 of 100Reported as group
Quality
85.21
Promoting interoperability
99
Improvement activities
40
Cost
77.85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10262NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Proaxis Therapy NC, LLC Physical Therapist CurrentSince Feb 29, 2016 Accepting new patients
Activcare Physical Therapy, LLC Physical Therapist CurrentSince May 10, 2022 Accepting new patients
Proaxis Therapy SC, LLC Physical Therapist Past Accepting new patients

Locations

33202 Collection Ctr Dr
Chicago, IL 60693

303 Park St
Belmont, NC 28012
Phone (704) 826-9980

205 Sage Rd
Ste 203
Chapel Hill, NC 27514
Phone (919) 918-4171

166 Springbrook Ave
Ste 201
Clayton, NC 27520
Phone (919) 535-8461

2301 Battleground Ave
Ste 103
Greensboro, NC 27408
Phone (336) 665-8445

905 Old Winston Rd
Ste B
Kernersville, NC 27284
Phone (336) 287-5526

3410 Executive Dr
Ste 205
Raleigh, NC 27609
Phone (919) 322-0042

Interoperability endpoints

  • Direct secure messaging: jamie.tjalma.p12@direct.athleticoltd.nextgenshare.com

Organizations & group practices 3

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": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457308800000",
    "number": "1366547374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 SAGE RD",
            "address_2": "STE 203",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275146995",
            "telephone_number": "919-918-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TJALMA",
        "first_name": "JAMIE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2016-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "10262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "REGULSKI",
            "middle_name": "LYNN",
            "prefix": "MISS",
            "credential": "P.T.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; 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.