Active NPI
Jessica Jobber, PT
- Physical Therapist
- Fayetteville, NC
National Provider Identifier
1629742218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P20619
- Practice address
- 231 Treetop Dr Ste 301
Fayetteville, NC 28311-0606 - Phone
- (910) 491-8217
- NPI assigned
- Aug 6, 2021
- Last updated
- Aug 6, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P20619 | NC | Primary |
Addresses
Primary practice location
231 Treetop Dr Ste 301
Fayetteville, NC 28311-0606
Mailing address
811 Ocean Blvd W
Holden Beach, NC 28462-1809
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 |
|---|---|---|---|
| P20619 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628208000000",
"number": "1629742218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "811 OCEAN BLVD W",
"city": "HOLDEN BEACH",
"state": "NC",
"postal_code": "284621809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "231 TREETOP DR STE 301",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283110606",
"telephone_number": "910-491-8217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOBBER",
"first_name": "JESSICA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-06",
"last_updated": "2021-08-06",
"certification_date": "2021-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P20619",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.