Individual provider Active NPI

Jennifer Renee Erbst, PT

  • Physical Therapist
  • Raleigh, NC
National Provider Identifier
1760443287
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2592 Issued in NC
Practice address
2533 Atlantic Ave Ste 100
Raleigh, NC 27604-1568
Phone
(919) 612-3842
NPI assigned
Apr 1, 2006
Last updated
Oct 5, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2592 NC Primary
Orthopedic Physical Therapist 2251X0800X 2592 NC

Addresses

Primary practice location

2533 Atlantic Ave Ste 100
Raleigh, NC 27604-1568

Mailing address

8813 Sleepy Creek Dr
Raleigh, NC 27613-1322
Phone (919) 612-3842

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
2592NCMDOphthalmology Physician

NPI Registry JSON

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

{
    "created_epoch": "1143849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1760443287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8813 SLEEPY CREEK DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276131322",
            "telephone_number": "919-612-3842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2533 ATLANTIC AVE STE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276041568",
            "telephone_number": "919-612-3842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERBST",
        "first_name": "JENNIFER",
        "middle_name": "RENEE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-01",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "2592",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NC",
            "license": "2592",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; 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.