Active NPI
Elizabeth E Jones, PT
- Physical Therapist
- Charlotte, NC
National Provider Identifier
1407170202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P19875
- Practice address
- 445 S Kings Dr
Charlotte, NC 28204-3041 - Phone
- (704) 384-1737
- NPI assigned
- Mar 23, 2010
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT10543 | SC | |
| Physical Therapist | 225100000X | PT25315 | FL | |
| Physical Therapist | 225100000X | PT-4667 | HI | |
| Physical Therapist | 225100000X | 2305208031 | VA | |
| Physical Therapist | 225100000X | P19875 | NC | Primary |
Addresses
Primary practice location
445 S Kings Dr
Charlotte, NC 28204-3041
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
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 |
|---|---|---|---|
| P19875 | NC | MD | Physical Therapist |
| PT10543 | SC | MD | Physical Therapist |
| 2305208031 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Clinic of NC PC | Physical Therapist | Current | Accepting new patients |
Locations
1700 Regency Pkwy
Cary, NC 27518
Phone (404) 351-5309
Organizations & group practices 1
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": "1269302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634083200000",
"number": "1407170202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 S KINGS DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282043041",
"telephone_number": "704-384-1737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "ELIZABETH",
"middle_name": "E",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-23",
"last_updated": "2021-10-13",
"certification_date": "2021-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "PT10543",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT25315",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "HI",
"license": "PT-4667",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305208031",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P19875",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.