Active NPI
Corey Friend, DPT
- Physical Therapist
- Jacksonville, NC
National Provider Identifier
1386192979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11583
- Practice address
- 233E Bell Fork Rd
Jacksonville, NC 28540-6471 - Phone
- (910) 238-2259
- Fax
- (888) 209-9322
- NPI assigned
- Sep 13, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 16630 | NC | |
| Physical Therapist | 225100000X | 11583 | TN | Primary |
Addresses
Primary practice location
233E Bell Fork Rd
Jacksonville, NC 28540-6471
Mailing address
2009 Neuse Blvd
P.O. Box 7187
New Bern, NC 28560-3470
Phone (252) 636-9800
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 |
|---|---|---|---|
| 11583 | TN | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| 16630 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507852800000",
"number": "1386192979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2009 NEUSE BLVD",
"address_2": "P.O. BOX 7187",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285603470",
"telephone_number": "252-636-9800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "233E BELL FORK RD",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285406471",
"telephone_number": "910-238-2259",
"fax_number": "888-209-9322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIEND",
"first_name": "COREY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-13",
"last_updated": "2017-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "16630",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "11583",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.