Jonathan Poplin, PT, DPT
Individual provider Active NPI Physical Therapist · Lexington, NC
NPI 1780241687 · NPPES record last updated Oct 26, 2020
Key facts
- NPI
- 1780241687
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- P15050 (NC)
- Practice address
- 144 Forest Hill Rd
Lexington, NC 27295-2008 - Phone
- (336) 481-1770
- Fax
- (336) 481-1779
- NPI assigned
- May 26, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 16
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wake Forest University Health Sciences
Practice addresses (Care Compare)
1901 Mooney St
Winston Salem, NC 27103-3027
Phone (336) 716-8091
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240917004925 | NC | Practitioner - Physical Therapist in Private Practice | 0042751026 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wake Forest University Health Sciences | Physical Therapist | Current |
Accepting new patients |
Locations
1030 Mall Loop Rd
High Point, NC 27262
Phone (336) 781-4320
1901 Mooney St
Winston Salem, NC 27103
Phone (336) 716-8091
Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697
Interoperability endpoints
- jpoplin733131@direct.novanthealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P15050 | NC | Yes |
Addresses
Primary practice location
144 Forest Hill Rd
Lexington, NC 27295-2008
Mailing address
PO Box 601791
Charlotte, NC 28260-1791
Phone (704) 914-5139
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jpoplin733131@direct.novanthealth.org |
Other providers in Lexington, NC
- Piedmont Medical Equipment, Inc.
- Piedmont Stone Center PLLC
- Piedmont Women'S Healthcare, PA
- Angie T Pierce
- Amber Pope
- Positive Wellness Alliance
- Isabel Ann Dowty Potts
- Jacob Potts
- Carol Frye Powell
- Maryann Power-Mininni
All providers in Lexington, 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 Oct 26, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.