Active NPI
Kurtis R Jones, DPT
- Physical Therapist
- Charlotte, NC
National Provider Identifier
1508044025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 17471
- Practice address
- 3800 Shamrock Dr
Charlotte, NC 28215-3220 - Phone
- (704) 532-5364
- NPI assigned
- Feb 6, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 | 17471 | MA | Primary |
Addresses
Primary practice location
3800 Shamrock Dr
Charlotte, NC 28215-3220
Mailing address
5325 Roundstone Way
Apt 106
Charlotte, NC 28216-2437
Phone (815) 666-2474
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190918001826 | IL | Practitioner - Physical Therapist in Private Practice | 5294979035 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17471 | MA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Therapeutics LTD | Physical Therapist | Current | Accepting new patients |
| Comprehensive Therapeutics LTD | Physical Therapist | Current | Accepting new patients |
Locations
1015 Oconor Ave
La Salle, IL 61301
Phone (224) 616-5446
Organizations & group practices 2
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.
-
- Physical Therapist
- North Riverside, IL
- NPI 1699094102
IL, Physical Therapist
-
- Physical Therapist
- Lagrange, GA
- NPI 1881458354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304640000000",
"number": "1508044025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5325 ROUNDSTONE WAY",
"address_2": "APT 106",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282162437",
"telephone_number": "815-666-2474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 SHAMROCK DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282153220",
"telephone_number": "704-532-5364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "KURTIS",
"middle_name": "R",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-06",
"last_updated": "2011-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "17471",
"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 May 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.