Jennifer Cobb Warnock, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A7868 Issued in NC

Practice address

3908 Longstreet Road
Fort Liberty, NC 28310-0001

Phone

(910) 907-6760

NPI assigned

Jun 28, 2024

Last updated

Jun 28, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1719532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1982449120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 TRUEWINDS DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283068183",
            "telephone_number": "910-391-5541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3908 LONGSTREET ROAD",
            "city": "FORT LIBERTY",
            "state": "NC",
            "postal_code": "283100001",
            "telephone_number": "910-907-6760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNOCK",
        "first_name": "JENNIFER",
        "middle_name": "COBB",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-28",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "A7868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cuong Tuan Vuong, PHARM.D., B.S.
• Veronica Lynn Wade
• Christopher Phillip Wagner, D.O.
• Merritt Elise Ware, MD
• Samantha Warner
• Kerry Anne Brennan Wathen, JD LCSW
• Sheila M Weaver, LCSW, LISW-CP, LCAS
• Samuel Carter Welborn, MD
• Jennifer L Welsh, PHARMD
• George Wentz, PT, DPT, OCS

• Physical Therapy Assistant in Fort Liberty, NC
• Providers in Fort Liberty, NC by specialty
• Physical Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.