Jared John Carl Gersch, DPT
Individual provider Active NPI Physical Therapist · Cameron, NC
NPI 1871010819 · NPPES record last updated Jun 21, 2022
Key facts
- NPI
- 1871010819
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 17287 (NC)
- Practice address
- 1562 Highway 24/87
Cameron, NC 28326-9424 - Phone
- (910) 436-4545
- Fax
- (910) 497-2222
- NPI assigned
- Aug 29, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Breakthrough Physical Therapy Inc
Practice addresses (Care Compare)
1562 Hwy 24/87
Cameron, NC 28326
Phone (910) 436-4545
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171113000454 | NC | Practitioner - Physical Therapist in Private Practice | 0941566772 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17287 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Breakthrough Physical Therapy Inc | Physical Therapist | Current |
Accepting new patients |
| Breakthrough Physical Therapy Inc | Physical Therapist | Past | Accepting new patients |
| Breakthrough Physical Therapy | Physical Therapist | Past | Accepting new patients |
Locations
981 High House Rd
#100
Cary, NC 27513
Phone (919) 388-0111
4140 Ramsey St
Ste 110
Fayetteville, NC 28311
Phone (910) 483-9300
303 N 35th St
Morehead City, NC 28557
Phone (252) 247-2738
4701 Creedmoor Rd
Ste 107
Raleigh, NC 27612
Phone (919) 676-2001
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 17287 | NC | Yes |
Addresses
Primary practice location
1562 Highway 24/87
Cameron, NC 28326-9424
Mailing address
981 High House Rd Ste 100
Cary, NC 27513-3510
Phone (919) 388-0111
Other providers in Cameron, NC
- Holly Frost
- Savannah Frydlo
- Caitlyn Garcia
- Janece Gavaletz
- Caroline Shealy Gerraghty
- Jessica Ginorio
- Halana Gittens
- Tiara Goodman
- Jessica Ann Griffin
- Sarah Griffin
All providers in Cameron, 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 Jun 21, 2022. 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.