Individual provider Active NPI

Jordan Mary McAmmond, P.T

  • Physical Therapist
  • Greensboro, NC
National Provider Identifier
1750598231
Registry record updated May 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11247 Issued in NC
Practice address
414 Gallimore Dairy Rd
Suite B
Greensboro, NC 27409-9693
Phone
(336) 665-8445
Fax
(336) 665-8446
NPI assigned
May 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11247 NC Primary

Addresses

Primary practice location

414 Gallimore Dairy Rd
Suite B
Greensboro, NC 27409-9693

Mailing address

8300 Falls of Neuse Rd
Suite 104
Raleigh, NC 27615-3450
Phone (919) 846-9668

Other identifiers 1

IdentifierTypeStateIssuer
068TCOtherNCBCBS NC

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

LicenseStateTypeSpecialty
11247NCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Therapy Physical Therapist Past Accepting new patients
Advanced Therapy, PLLC Physical Therapist PastSince Feb 6, 2002 Accepting new patients
Activcare Physical Therapy, LLC Physical Therapist PastSince Aug 1, 2016 Accepting new patients
Carolina Physical Therapy Specialists, Inc Physical Therapist PastSince Jul 26, 2012 Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243382400000",
    "number": "1750598231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 FALLS OF NEUSE RD",
            "address_2": "SUITE 104",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153450",
            "telephone_number": "919-846-9668",
            "fax_number": "919-846-9663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 GALLIMORE DAIRY RD",
            "address_2": "SUITE B",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274099693",
            "telephone_number": "336-665-8445",
            "fax_number": "336-665-8446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCAMMOND",
        "first_name": "JORDAN",
        "middle_name": "MARY",
        "name_prefix": "Miss",
        "credential": "P.T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2009-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "11247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "068TC",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.