Active NPI
Jamie Carol Ewing, LMT,PTA
- Massage Therapist
- Wake Forest, NC
National Provider Identifier
1770874588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 2001-1648
- Practice address
- 1304 Dugway CT
Wake Forest, NC 27587-5535 - Phone
- (304) 640-2980
- NPI assigned
- Apr 27, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 001522 | WV | |
| Massage Therapist | 225700000X | 2001-1648 | WV | Primary |
Addresses
Primary practice location
1304 Dugway CT
Wake Forest, NC 27587-5535
Mailing address
1304 Dugway CT
Wake Forest, NC 27587-5535
Phone (304) 640-2980
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 |
|---|---|---|---|
| 001522 | WV | MD | Physical Therapy Assistant |
| 2001-1648 | WV | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445558400000",
"number": "1770874588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1304 DUGWAY CT",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275875535",
"telephone_number": "304-640-2980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1304 DUGWAY CT",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275875535",
"telephone_number": "304-640-2980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EWING",
"first_name": "JAMIE",
"middle_name": "CAROL",
"name_prefix": "Mrs.",
"credential": "LMT,PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-27",
"last_updated": "2015-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "WV",
"license": "001522",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WV",
"license": "2001-1648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wake Forest, NC
- Naromie Estael
- Skennie Laura Estael
- Jamecia A Estes, LCSW- P
- Krista Renee Etchison, MA, LCMHCS, NCC
- Maria W Evans, M.S., CCC-SLP
- Ervelange Exantus, MSN/PSYCH NP
- Robin H. Exum-Calhoun, PSY.D.
- Eye Care Associates OD PA (Eye Care Associates)
- Genevieve Sanatra Faison-Alston, MD
- Jennifer Lynne Faleski, RPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.