Active NPI
Jamie Michele Bafaro, PT
- Physical Therapist
- Wake Forest, NC
National Provider Identifier
1558310573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10183
- Practice address
- 123 Capcom Ave Ste 2
Wake Forest, NC 27587-6517 - Phone
- (919) 551-4142
- Fax
- (919) 694-6417
- NPI assigned
- May 8, 2006
- 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 Medicine & Rehabilitation Physician | 208100000X | P10183 | NC | |
| Physical Therapist | 225100000X | 10183 | NC | Primary |
Addresses
Primary practice location
123 Capcom Ave Ste 2
Wake Forest, NC 27587-6517
Mailing address
123 Capcom Ave Ste 2
Wake Forest, NC 27587-6517
Phone (919) 551-4142
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 |
|---|---|---|---|
| P10183 | NC | MD | Physical Medicine & Rehabilitation Physician |
| 10183 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680566400000",
"number": "1558310573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 CAPCOM AVE STE 2",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275876517",
"telephone_number": "919-551-4142",
"fax_number": "919-694-6417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 CAPCOM AVE STE 2",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275876517",
"telephone_number": "919-551-4142",
"fax_number": "919-694-6417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAFARO",
"first_name": "JAMIE",
"middle_name": "MICHELE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-08",
"last_updated": "2023-04-04",
"certification_date": "2023-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NC",
"license": "P10183",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "10183",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wake Forest, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.