Individual provider Active NPI

Jeffrey Alan Lubbers, P.T.

  • Physical Therapist
  • Apex, NC
National Provider Identifier
1912915455
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1119 Issued in NC
Practice address
1001 Pemberton Hill Rd
Suite 202
Apex, NC 27502-4265
Phone
(010) 367-0866
Fax
(919) 367-0866
NPI assigned
Aug 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1119 NC Primary

Addresses

Primary practice location

1001 Pemberton Hill Rd
Suite 202
Apex, NC 27502-4265

Mailing address

3116 Comstock Rd
Raleigh, NC 27604-3507
Phone (919) 872-6167

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)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912915455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3116 COMSTOCK RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276043507",
            "telephone_number": "919-872-6167",
            "fax_number": "919-872-6167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 PEMBERTON HILL RD",
            "address_2": "SUITE 202",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275024265",
            "telephone_number": "010-367-0866",
            "fax_number": "919-367-0866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUBBERS",
        "first_name": "JEFFREY",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "1119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apex, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.