Active NPI
Jamie West, DPT
- Physical Therapist
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P19024
- Practice address
- 2935 Providence Rd Ste 105
Charlotte, NC 28211-2762 - Phone
- (704) 585-8155
- NPI assigned
- Jul 21, 2022
- Last updated
- May 29, 2024
- Sex
- Female
- 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 | P19024 | NC | Primary |
Addresses
Primary practice location
2935 Providence Rd Ste 105
Charlotte, NC 28211-2762
Mailing address
2275 Marietta Blvd NW Ste 270
Atlanta, GA 30318-2012
Other practice location 1
11220 Golf Links Dr
Charlotte, NC 28277-8046
Phone (704) 901-7100
Other practice location 2
201 N Church St Ste 110
Mooresville, NC 28115-2602
Phone (704) 909-7808
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P19024 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Ivyrehab North Carolina LLC | Current | Accepting new patients | |
| Ivyrehab North Carolina LLC | Physical Therapist | Current | Accepting new patients |
| Life Clinic of NC PC | Physical Therapist | Past | Accepting new patients |
Locations
2221 Peachtree Rd NE
Ste D336
Atlanta, GA 30309
1700 Regency Pkwy
Cary, NC 27518
Phone (404) 351-5309
5960 Fairview Rd
Ste 250
Charlotte, NC 28210
Phone (980) 224-7958
2935 Providence Rd
Ste 105
Charlotte, NC 28211
Phone (704) 585-8155
11220 Golf Links Dr
Charlotte, NC 28277
Phone (704) 510-4988
9216 Ardrey Kell Rd
Ste 300
Charlotte, NC 28277
Phone (980) 556-7330
201 N Church St
Ste 110
Mooresville, NC 28115
Phone (704) 909-7808
1845 E Broad St
Statesville, NC 28625
Phone (980) 890-3255
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Medicine & Rehabilitation Physician
- Charlotte, NC
- NPI 1629568647
Physical Therapist
-
- Physical Medicine & Rehabilitation Physician
- Charlotte, NC
- NPI 1528683935
-
dba LifeClinic of Franklin
- Chiropractor
- Raleigh, NC
- NPI 1437650843
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716940800000",
"number": "1952036113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2275 MARIETTA BLVD NW STE 270",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303182012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2935 PROVIDENCE RD STE 105",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282112762",
"telephone_number": "704-585-8155"
}
],
"practiceLocations": [
{
"address_1": "11220 Golf Links Dr",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282778046",
"country_code": "US",
"telephone_number": "704-901-7100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "201 N Church St Ste 110",
"address_purpose": "LOCATION",
"city": "Mooresville",
"state": "NC",
"postal_code": "281152602",
"country_code": "US",
"telephone_number": "704-909-7808",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEST",
"first_name": "JAMIE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-21",
"last_updated": "2024-05-29",
"certification_date": "2024-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P19024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.