Individual provider Active NPI

Jane Zolecki Ford, M.H.S., P.T.

  • Physical Therapist
  • Raleigh, NC
National Provider Identifier
1972633063
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P4887 Issued in NC
Practice address
3708 Forestview Rd Ste 101
Raleigh, NC 27612-2391
Phone
(919) 786-7434
Fax
(919) 786-7437
NPI assigned
Mar 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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 P4887 NC Primary

Addresses

Primary practice location

3708 Forestview Rd Ste 101
Raleigh, NC 27612-2391

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (570) 550-0168

Other practice location 1

3001 Edwards Mill Rd Ste 200
Raleigh, NC 27612-5243
Phone (919) 781-5600

Other practice location 2

1130 N Church St
Suite 100
Greensboro, NC 27401-1038
Phone (336) 375-2301

Other practice location 3

1110 SE Cary Pkwy Ste 208
Cary, NC 27518-7435
Phone (919) 573-4828

Other names 1

  • Jane Zolecki Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jford265511@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080506000391 NC Practitioner - Physical Therapist in Private Practice 0446339287 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Raleigh Hand to Shoulder Center PAGroup PAC ID 9931127099, 10 clinicians
Activcare Physical Therapy, LLCGroup PAC ID 8628027471, 126 clinicians

Practice addresses (Care Compare)

3701 Wake Forest Rd
Suite 100
Raleigh, NC 27609-6832
Phone 9198723171205

3708 Forestview Rd
Suite 101
Raleigh, NC 27612-8042
Phone (919) 786-7434

Merit-based Incentive Payment System (MIPS)

Final score
86.41 of 100Reported as group
Quality
76.58
Promoting interoperability
100
Improvement activities
40
Cost
78.13

Merit-based Incentive Payment System (MIPS)

Final score
88.67 of 100Reported as group
Quality
85.21
Promoting interoperability
99
Improvement activities
40
Cost
77.85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1152SCMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services, Inc. Physical Therapist CurrentSince Jul 1, 2024 Accepting new patients
Legacy Healthcare Services Inc Physical Therapist CurrentSince Jul 1, 2024 Accepting new patients
Raleigh Hand to Shoulder Center PA CurrentSince Dec 1, 2025 Accepting new patients
Activcare Physical Therapy, LLC Physical Therapist CurrentSince Jul 8, 2024 Accepting new patients
Breakthrough Physical Therapy Physical Therapist Past Accepting new patients

Locations

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

1705 Kildaire Farm Rd
Cary, NC 27511
Phone (919) 342-0290

166 Springbrook Ave
Ste 201
Clayton, NC 27520
Phone (919) 535-8461

2701 Pickett Rd
Durham, NC 27705
Phone (919) 419-4012

3701 Wake Forest Rd
#100
Raleigh, NC 27609
Phone (919) 872-3171

3708 Forestview Rd
Ste 101
Raleigh, NC 27612
Phone (919) 786-7434

3410 Executive Dr
Ste 205
Raleigh, NC 27609
Phone (919) 322-0042

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300

Interoperability endpoints

  • Direct secure messaging: jane.ford.p12@direct.athleticoltd.nextgenshare.com
  • Direct secure messaging: jford265511@direct.unc.nchie.net

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1972633063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925",
            "telephone_number": "570-550-0168",
            "fax_number": "410-648-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3708 FORESTVIEW RD STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276122391",
            "telephone_number": "919-786-7434",
            "fax_number": "919-786-7437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3001 Edwards Mill Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276125243",
            "country_code": "US",
            "telephone_number": "919-781-5600",
            "fax_number": "919-781-5246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1130 N Church St",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274011038",
            "country_code": "US",
            "telephone_number": "336-375-2301",
            "fax_number": "336-375-2315",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1110 SE Cary Pkwy Ste 208",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275187435",
            "country_code": "US",
            "telephone_number": "919-573-4828",
            "fax_number": "919-238-0088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORD",
        "first_name": "JANE",
        "middle_name": "ZOLECKI",
        "credential": "M.H.S., P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P4887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jford265511@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "1110 SE Cary Pkwy Ste 208",
            "city": "Cary",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275187435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JANE",
            "last_name": "ZOLECKI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Feb 20, 2025; 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.

Verify at the official NPI Registry.