Active NPI
Jessica Moe Nguyen, LPTA
- Physical Therapy Assistant
- Charlotte, NC
National Provider Identifier
1679906994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 5137
- Practice address
- 5100 Sharon Rd
Charlotte, NC 28210-4768 - Phone
- (704) 553-1670
- NPI assigned
- Aug 11, 2013
- 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 Therapy Assistant | 225200000X | 5137 | NC | Primary |
Addresses
Primary practice location
5100 Sharon Rd
Charlotte, NC 28210-4768
Mailing address
6817 Thornton Oaks CT
Charlotte, NC 28270-1553
Phone (919) 740-6753
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5137 | NC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376179200000",
"number": "1679906994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6817 THORNTON OAKS CT",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282701553",
"telephone_number": "919-740-6753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5100 SHARON RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282104768",
"telephone_number": "704-553-1670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "JESSICA",
"middle_name": "MOE",
"name_prefix": "Mrs.",
"credential": "LPTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-11",
"last_updated": "2013-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NC",
"license": "5137",
"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 Aug 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.