Active NPI
Jennifer Poppe Congleton, PT
- Physical Therapist
- Louisburg, NC
National Provider Identifier
1730102765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6088
- Practice address
- 1501 N Bickett Blvd
Suite F
Louisburg, NC 27549-2178 - Phone
- (919) 497-8414
- Fax
- (919) 497-8478
- NPI assigned
- Jul 25, 2006
- Last updated
- Jul 8, 2007
- 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 | 6088 | NC | Primary |
Addresses
Primary practice location
1501 N Bickett Blvd
Suite F
Louisburg, NC 27549-2178
Mailing address
191 Woodcrest Dr
Youngsville, NC 27596-8677
Phone (919) 618-1770
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 |
|---|---|---|---|
| 6088 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Springmoor Physical Therapy Center, Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Raleigh, NC
- NPI 1972534998
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730102765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "191 WOODCREST DR",
"city": "YOUNGSVILLE",
"state": "NC",
"postal_code": "275968677",
"telephone_number": "919-618-1770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 N BICKETT BLVD",
"address_2": "SUITE F",
"city": "LOUISBURG",
"state": "NC",
"postal_code": "275492178",
"telephone_number": "919-497-8414",
"fax_number": "919-497-8478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONGLETON",
"first_name": "JENNIFER",
"middle_name": "POPPE",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "6088",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisburg, NC
- Samantha Morgan Coleman, LCAS, LCMHC
- Quinnley Augusta Coley
- Byron Keith Collins, LCSW
- Rachel Collins
- Comfort Healthcare, Inc.
- Continuum II Home Health & Hospice, Inc. (Continuum Home Care of Louisburg)
- Lana J Cooper, P.A.
- Cornelius F. Cathcart, Pediatrics, PA (N.C. Pediatric Associates)
- Aimee Tosha Costabile Henk, DPT
- County of Franklin (Franklin County Home Health)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.