Active NPI
Jeffrey Alan Lubbers, P.T.
- Physical Therapist
- Apex, NC
National Provider Identifier
1912915455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1119
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.