Active NPI
Jessica Rayder
- Physical Therapist
- Raleigh, NC
National Provider Identifier
1962124164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- TBD
- Practice address
- 8305 Falls of Neuse Rd Ste 102
Raleigh, NC 27615-3546 - Phone
- (919) 870-4444
- NPI assigned
- Sep 14, 2022
- 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 | TBD | NC | Primary |
Addresses
Primary practice location
8305 Falls of Neuse Rd Ste 102
Raleigh, NC 27615-3546
Mailing address
8305 Falls of Neuse Rd Ste 102
Raleigh, NC 27615-3546
Phone (919) 870-4444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TBD | Other | NC | NC PT BOARD OF EXAMINERS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://npiregistry.cms.hhs.gov/search | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8305 Falls of Neuse Rd
Suite 102
Raleigh, NC 27615-3546
Phone (919) 870-4444
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TBD | NC | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aquatic Physical Therapy & Beyond, LLC | Physical Therapist | Current | Accepting new patients |
Locations
8305 Falls of Neuse Rd
Ste 102
Raleigh, NC 27615
Phone (919) 870-4444
Organizations & group practices 1
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.
-
- Physical Therapist
- Raleigh, NC
- NPI 1861462558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663113600000",
"number": "1962124164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8305 FALLS OF NEUSE RD STE 102",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276153546",
"telephone_number": "919-870-4444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8305 FALLS OF NEUSE RD STE 102",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276153546",
"telephone_number": "919-870-4444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAYDER",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-14",
"last_updated": "2022-09-14",
"certification_date": "2022-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "TBD",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC PT BOARD OF EXAMINERS",
"identifier": "TBD",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://npiregistry.cms.hhs.gov/search",
"affiliation": "N",
"endpointDescription": "NPI Registry",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "8305 Falls Of Neuse Rd Ste 102",
"city": "Raleigh",
"state": "NC",
"country_code": "US",
"postal_code": "276153546",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.