Individual provider Active NPI

Jamie West, DPT

  • Physical Therapist
  • Charlotte, NC
National Provider Identifier
1952036113
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P19024 Issued in NC
Practice address
2935 Providence Rd Ste 105
Charlotte, NC 28211-2762
Phone
(704) 585-8155
NPI assigned
Jul 21, 2022
Last updated
May 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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 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

Enrollment IDStateProvider typePAC IDDetails
I20220902002272 NC Practitioner - Physical Therapist in Private Practice 4284018680 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P19024NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Therapy LLC Physical Therapist CurrentSince Jul 22, 2022 Accepting new patients
Ivyrehab North Carolina LLC CurrentSince May 27, 2024 Accepting new patients
Ivyrehab North Carolina LLC Physical Therapist CurrentSince May 27, 2024 Accepting new patients
Life Clinic of NC PC Physical Therapist PastSince Nov 4, 2024 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.

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.

Verify at the official NPI Registry.