Jennifer Elise Black, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P17101 Issued in NC

Practice address

590 Medical Park Dr
Marshall, NC 28753-6807

Phone

(828) 649-9566

NPI assigned

Jun 15, 2017

Sex

Female

Sole proprietor

No

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.

• Hot Springs Health Program, Inc.

  • Physical Therapist
  • Marshall, NC
  • NPI 1417335670

  NC

  Medicare reassignment Care Compare group
• Hot Springs Health Program, Inc.

  • Federally Qualified Health Center (FQHC)
  • Marshall, NC
  • NPI 1942277454
  Care Compare group NPD (past)
• Hot Springs Health Program, Inc.

  • Federally Qualified Health Center (FQHC)
  • Hot Springs, NC
  • NPI 1376510875
  Care Compare group
• Hot Springs Health Program, Inc.

  • Home Health Agency
  • Marshall, NC
  • NPI 1508869249
  Care Compare group
• Hot Springs Health Program, Inc.

  • Federally Qualified Health Center (FQHC)
  • Mars Hill, NC
  • NPI 1780651695
  Care Compare group
• Hot Springs Health Program, Inc.

  • Federally Qualified Health Center (FQHC)
  • Marshall, NC
  • NPI 1811964729
  Care Compare group

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hot Springs Health Program Inc 26 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 15, 2017.

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497484800000",
    "number": "1912437674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69",
            "city": "MARSHALL",
            "state": "NC",
            "postal_code": "287530069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 MEDICAL PARK DR",
            "city": "MARSHALL",
            "state": "NC",
            "postal_code": "287536807",
            "telephone_number": "828-649-9566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "JENNIFER",
        "middle_name": "ELISE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-15",
        "last_updated": "2017-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P17101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arp/Phoenix, Inc.
• Lakin Norris Ayers, PHD
• Evelyne Dee Ball, LCSW-A
• Janet Bennie, NP-C
• Jennifer J Bikkal
• Bluewest Opportunities, Inc.
• Meghan Bogutz, LCSWA, LCASA
• April Jean Boyle, LCSW
• Penelope L Brown, BSW
• Chessa Budai, LCSW

• All providers in Marshall, NC
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2017; 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.

Verify at the official NPI Registry.