Jennifer Poppe Congleton, PT
Individual provider Active NPI Physical Therapist · Louisburg, NC
NPI 1730102765 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1730102765
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 6088 (NC)
- 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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6088 | NC | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Springmoor Physical Therapy Center, Inc. | Physical Therapist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6088 | NC | Yes |
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
Other providers in Louisburg, NC
- Samantha Morgan Coleman
- Quinnley Augusta Coley
- Byron Keith Collins
- Rachel Collins
- Comfort Healthcare, Inc.
- Continuum II Home Health & Hospice, Inc.
- Lana J Cooper
- Cornelius F. Cathcart, Pediatrics, PA
- Aimee Tosha Costabile Henk
- County of Franklin
All providers in Louisburg, NC · Physical Therapist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.