MR. JEFFREY JAMES FAULK JR. (NPI# 1235214180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235214180 |
Entity Type | Individual |
Full Name | MR. JEFFREY JAMES FAULK JR. |
Credential | P.T. |
Practice Address |
889 Sherwood Ln Statesville NC 28677-4183 |
Practice Telephone | 7048810088 |
Practice Fax Number | 7048810087 |
Mailing Telephone | 7048810088 |
Mailing Fax Number | 7048810087 |
Enumeration Date | 2006-10-26 |
Last Update Date | 2011-03-22 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
4363 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 7207891 | 05 |
Street Address |
889 SHERWOOD LN |
City | STATESVILLE |
State | NC |
Zip Code | 28677-4183 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891353926 | Mary Kathryn Allison | Physical Therapist | 889 Sherwood Ln, Statesville, NC 28677-4183 | 2019-06-04 |
1639693641 | Amanda Lauren Lee | Physical Therapist | 889 Sherwood Ln, Statesville, NC 28677-4183 | 2017-08-01 |
1184909558 | Amy D'alessio | Physical Therapist | 889 Sherwood Ln, Statesville, NC 28677-4183 | 2011-10-18 |
1013291541 | Peggy Arey Furr | Physical Therapist | 889 Sherwood Ln, Statesville, NC 28677-4183 | 2011-10-03 |
1073699575 | Denise Overcash Ray | Physical Therapist | 889 Sherwood Ln, Statesville, NC 28677-4183 | 2006-10-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306472311 | Crystal Medley Hopkins | Nurse Practitioner | 105 Summer Breeze Court, Statesville, NC 28677 | 2020-03-21 |
1922634484 | Tracey Holton | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Easterseals Ucp, 913 Carolina Ave N, Statesville, NC 28677 | 2020-03-17 |
1962069286 | Leap Child & Family Services LLC | Developmental Therapist | 119 North Tradd Street, Statesville, NC 28677 | 2019-05-22 |
1831604891 | Ingles Markets Inc | Pharmacy | 722 Sullivan Rd, Statesville, NC 28677 | 2017-12-12 |
1235663162 | Sandra Lorraine Scalese | Physical Therapy Assistant | 520 Valley Street, Brian Center Health and Rehabilitation, Statesville, NC 28677 | 2017-04-18 |
1437698891 | Sherry Blevins Hager | Pharmacist | 722 Sullivan Road, Statesville, NC 28677 | 2017-02-17 |
1063828507 | Susan Marie S Sheffield | Dentist | 518 Brookdale Drive, Statesville, NC 28677 | 2014-07-04 |
1659782449 | Easter Seals Ucp | Community/Behavioral Health | 913 Carolina Ave, Statesville, NC 28677 | 2014-05-14 |
1306268016 | Randall Scott Perry | Dentist | 1132 Davie Avenue, Statesville, NC 28677 | 2014-01-15 |
1215215876 | Silhouette Enterprises | Prosthetic/Orthotic Supplier | 909 Carolina Ave, Statesville, NC 28677 | 2011-08-01 |
Find all providers in zip 28677 |
Taxonomy Code | 2251X0800X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Orthopedic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164558276 | Shawn Micheal Minick | Physical Therapist | 218 Old Mocksville Rd, Statesville, NC 28625-1930 | 2007-02-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003438292 | Letizia B Migliaccio | Physical Therapist | 3726 Battleground Ave # B, Greensboro, NC 27410-2344 | 2020-05-11 |
1396371787 | Teresa Blake Robertson Elder | Physical Therapist | 120 Grandview Ave, Brevard, NC 28712-4727 | 2020-03-17 |
1821650367 | Peak Pelvic Health Physical Therapy, LLC | Physical Therapist | 160 Macgregor Pines Dr Ste 101, Cary, NC 27511-6037 | 2019-07-05 |
1679132690 | Demario Sharrod Lewis | Physical Therapist | 200 W Woodcroft Pkwy Apt 62b, Durham, NC 27713-8086 | 2019-06-12 |
1679032866 | David James Lawton | Physical Therapist | 101 E W T Harris Blvd Ste 5001, Charlotte, NC 28262-3574 | 2019-03-18 |
1497211643 | Mackenzie Gilliss | Physical Therapist | 703 N Us 29 Hwy, China Grove, NC 28023-2617 | 2019-02-13 |
1275002461 | Thrivetothrive, LLC | Physical Therapist | 1606 Physicians Drive, Inside Promina Health, Wilmington, NC 28401 | 2018-11-16 |
1730658253 | Smart Athlete Physiotherapy, LLC | Physical Therapist | 1017 E Whitaker Mill Rd, Raleigh, NC 27608-2757 | 2018-11-14 |
1366927659 | Judy Larose Foxworth | Physical Therapist | 601 S Mlk Jr Drive F L Atkins Bldg Rm 333, Winston Salem, NC 27110-0001 | 2018-10-02 |
1063905065 | Gabriela Perez | Physical Therapist | 5920 Sandy Forks Rd, Raleigh, NC 27609-3814 | 2018-06-13 |
Find all providers with the same taxonomy |
City | STATESVILLE |
Zip Code | 28677 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.