Active NPI
Jacob Thorp, PT, DHS
- Orthopedic Physical Therapist
- Greenville, NC
National Provider Identifier
1962426858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 11518
- Practice address
- 2325 Stantonsburg Rd
Greenville, NC 27834-7534 - Phone
- (252) 695-6322
- Fax
- (252) 695-6321
- NPI assigned
- Jul 26, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physical Therapist | 2251S0007X | 11518 | NC | |
| Orthopedic Physical Therapist | 2251X0800X | 11518 | NC | Primary |
Addresses
Primary practice location
2325 Stantonsburg Rd
Greenville, NC 27834-7534
Mailing address
600 Moye Blvd
East Carolina University; PT Department
Greenville, NC 27834
Phone (252) 744-6237
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11518 | NC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275955200000",
"number": "1962426858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 MOYE BLVD",
"address_2": "EAST CAROLINA UNIVERSITY; PT DEPARTMENT",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "27834",
"telephone_number": "252-744-6237",
"fax_number": "252-744-6240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2325 STANTONSBURG RD",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278347534",
"telephone_number": "252-695-6322",
"fax_number": "252-695-6321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THORP",
"first_name": "JACOB",
"name_prefix": "Dr.",
"credential": "PT, DHS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2010-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "NC",
"license": "11518",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NC",
"license": "11518",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.