Individual provider Active NPI

Jennifer Lias, PT

  • Physical Therapist
  • Arden, NC
National Provider Identifier
1518922970
Registry record updated Jan 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11880 Issued in NC
Practice address
600 Julian LN Ste 660
Arden, NC 28704-7815
Phone
(828) 684-3611
NPI assigned
Apr 19, 2006
Last updated
Jan 12, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2012

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 11880 NC Primary

Addresses

Primary practice location

600 Julian LN Ste 660
Arden, NC 28704-7815

Mailing address

90 Spicewood Rd
Weaverville, NC 28787-7510

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090921000357 NC Practitioner - Physical Therapist in Private Practice 5294881017 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11880NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Black Mountain Physical Therapy, LLC Physical Therapist CurrentSince Jul 20, 2015 Accepting new patients
Mobile Rehab L.L.C. Physical Therapist CurrentSince Dec 1, 2010 Accepting new patients

Locations

997 Old US Hwy 70 W
Ste D
Black Mtn, NC 28711
Phone (828) 669-6896

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326326400000",
    "number": "1518922970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 SPICEWOOD RD",
            "city": "WEAVERVILLE",
            "state": "NC",
            "postal_code": "287877510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 JULIAN LN STE 660",
            "city": "ARDEN",
            "state": "NC",
            "postal_code": "287047815",
            "telephone_number": "828-684-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIAS",
        "first_name": "JENNIFER",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2012-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "11880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arden, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; 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.

Verify at the official NPI Registry.