Active NPI
Jennifer Drake
- Physical Therapist
- Matthews, NC
National Provider Identifier
1760873384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8418
- Practice address
- 2008 Moore Rd
Matthews, NC 28105-4978 - Phone
- (877) 407-3422
- Fax
- (877) 407-4329
- NPI assigned
- Feb 18, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | 8418 | SC | Primary |
Addresses
Primary practice location
2008 Moore Rd
Matthews, NC 28105-4978
Mailing address
385 Spears Creek Church Rd Ste B
Elgin, SC 29045-8446
Phone (803) 929-7408
Other practice location 1
385 Spears Creek Church Rd Ste B
Elgin, SC 29045-8446
Phone (803) 929-7408
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8418 | Other | SC | PHYSICAL THERAPY LICENSES |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler | Other | Fox Rehab PT NC LLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, NC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
800 N Lake Dr
Lexington, SC 29072-2903
Phone (877) 407-3422
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehabilitation Services of South Carolina, LLC | Physical Therapist | Current | Accepting new patients |
| Fox Rehab PT NC LLC | Physical Therapist | Current | Accepting new patients |
Locations
2008 Moore Rd
Matthews, NC 28105
7 Carnegie Plz
Cherry Hill, NJ 08003
Organizations & group practices 2
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.
-
- Physical Therapist
- Lexington, SC
- NPI 1902133689
-
- Physical Therapist
- Matthews, NC
- NPI 1053199844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744243200000",
"number": "1760873384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "385 SPEARS CREEK CHURCH RD STE B",
"city": "ELGIN",
"state": "SC",
"postal_code": "290458446",
"telephone_number": "803-929-7408",
"fax_number": "888-711-0441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2008 MOORE RD",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281054978",
"telephone_number": "877-407-3422",
"fax_number": "877-407-4329"
}
],
"practiceLocations": [
{
"address_1": "385 Spears Creek Church Rd Ste B",
"address_purpose": "LOCATION",
"city": "Elgin",
"state": "SC",
"postal_code": "290458446",
"country_code": "US",
"telephone_number": "803-929-7408",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DRAKE",
"first_name": "JENNIFER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-18",
"last_updated": "2025-04-10",
"certification_date": "2025-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "8418",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY LICENSES",
"identifier": "8418",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
"affiliationName": "Fox Rehab PT NC LLC",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "2008 Moore Rd",
"city": "Matthews",
"state": "NC",
"country_code": "US",
"postal_code": "281054978",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Matthews, NC
- Dr Andrew G Hahn and Associates Optometry PA
- Dr. Arnoldo Bowrey OD PLLC
- Dr. Karen E. Hooper, Psychologist, P.a.
- Dr. Nicholas Graham and Associates
- Drake Neuromuscular Therapy, LLC
- Courtney Shea Drakulic
- Ranayda Drayton, LCSW
- Benjamin Addison Driggers, LCSWA
- DRS Reimels Paine and Paterra PLLC
- DRS. Patel, Alston & Associates I, P.a.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.