Active NPI
Carlotta Jones, P.T.
- Physical Therapist
- Bala Cynwyd, PA
National Provider Identifier
1992769798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 007148L
- Practice address
- 2 Bala Plaza
Suite Il-47
Bala Cynwyd, PA 19004 - Phone
- (610) 668-1048
- Fax
- (610) 668-9539
- NPI assigned
- Apr 17, 2006
- 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 | 007148L | PA | Primary |
Addresses
Primary practice location
2 Bala Plaza
Suite Il-47
Bala Cynwyd, PA 19004
Mailing address
2 Bala Plaza
Suite Il-47
Bala Cynwyd, PA 19004
Phone (610) 668-1048
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019223510001 | Medicaid | PA |
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 |
|---|---|---|---|
| 007148L | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300838400000",
"number": "1992769798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 BALA PLAZA",
"address_2": "SUITE IL-47",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "19004",
"telephone_number": "610-668-1048",
"fax_number": "610-668-9539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 BALA PLAZA",
"address_2": "SUITE IL-47",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "19004",
"telephone_number": "610-668-1048",
"fax_number": "610-668-9539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "CARLOTTA",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-17",
"last_updated": "2011-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "007148L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "019223510001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bala Cynwyd, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.