Jennifer Nicole Black, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

740 W Fire Tower Rd Ste 113
Winterville, NC 28590-8477

Phone

(252) 329-8800

NPI assigned

Jan 31, 2023

Last updated

Jan 30, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Nicole Gehrin Former name

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Peak Performance Sports and Physical Therapy, LLC

  • Physical Therapist
  • New Bern, NC
  • NPI 1194714063
  Medicare reassignment NPD
• Greenville Peak Performance Sports & Physical Therapy, LLC

  • Physical Therapist
  • Winterville, NC
  • NPI 1962603266
  NPD

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1689370744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 KENMOOR AVE SE STE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462395",
            "telephone_number": "616-356-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 W FIRE TOWER RD STE 113",
            "city": "WINTERVILLE",
            "state": "NC",
            "postal_code": "285908477",
            "telephone_number": "252-329-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "JENNIFER",
        "middle_name": "NICOLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-31",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "GEHRIN",
            "middle_name": "NICOLE",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brooke Colin Bear, D.O.
• Jacqueline Fedash Beck, MS, LPC
• Macy Becker, FNP
• Anthony L Bell
• Bio-Medical Applications of North Carolina, Inc. (Fresenius Kidney Care Captains Cove)
• Savannah Leigh Black, LCSW-A
• Sarah Blakely
• Blue Star Transit
• Pamela L Boyd
• Louise Bradshaw, MD

• Physical Therapist in Winterville, NC
• Providers in Winterville, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; 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.