Active NPI
Jeffrey Charles Wardach, DPT
- Orthopedic Physical Therapist
- Fayetteville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- P23678
- Practice address
- 4140 Ferncreek Dr Ste 801
Fayetteville, NC 28314-2572 - Phone
- (910) 710-5051
- Fax
- (910) 223-6233
- NPI assigned
- Jun 5, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | P23678 | NC | Primary |
| Orthopedic Physical Therapist | 2251X0800X | 11065 | SC | |
| Orthopedic Physical Therapist | 2251X0800X | PT36962 | FL |
Addresses
Primary practice location
4140 Ferncreek Dr Ste 801
Fayetteville, NC 28314-2572
Mailing address
4140 Ferncreek Dr Ste 801
Fayetteville, NC 28314-2572
Phone (910) 710-5051
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, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Atrium Health Neurospine Network LLC
Practice addresses (Care Compare)
110 Lake Concord Rd NE
Concord, NC 28025-2918
Phone (704) 792-2672
4140 Ferncreek Dr
Suite 801
Fayetteville, NC 28314-2572
Phone (910) 484-2171
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11065 | SC | MD | General Practice Dentistry |
| PT36962 | FL | MD | Orthopedic Physical Therapist |
| P23678 | NC | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cape Fear Valley Health Medical Group LLC | Physical Therapist | Current | Accepting new patients |
| Cape Fear Valley Health Medical Group LLC | Current | Accepting new patients |
Locations
4140 Ferncreek Dr
Ste 801
Fayetteville, NC 28314
Phone (910) 484-2171
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- Fayetteville, NC
- NPI 1235957655
Physical Therapist
-
- Orthopaedic Surgery of the Spine Physician
- Fayetteville, NC
- NPI 1568315554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769126400000",
"number": "1992297907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4140 FERNCREEK DR STE 801",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283142572",
"telephone_number": "910-710-5051",
"fax_number": "910-223-6233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4140 FERNCREEK DR STE 801",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283142572",
"telephone_number": "910-710-5051",
"fax_number": "910-223-6233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARDACH",
"first_name": "JEFFREY",
"middle_name": "CHARLES",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-05",
"last_updated": "2026-01-23",
"certification_date": "2026-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NC",
"license": "P23678",
"primary": true
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "SC",
"license": "11065",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "FL",
"license": "PT36962",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2026; 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.