MRS. JESSICA HUMBACH ADAMCZAK


Address: 8918 Blakeney Professional Dr, Suite 120, Charlotte, NC 28277-6691
Phone: 7049008960

MRS. JESSICA HUMBACH ADAMCZAK (NPI# 1073878864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073878864
Entity Type Individual
Full Name MRS. JESSICA HUMBACH ADAMCZAK
Other Name JESSICA LYNN HUMBACH
Credential DPT, ATC
Practice Address 8918 Blakeney Professional Dr
Suite 120
Charlotte
NC 28277-6691
Mailing Address 3113 Crescent Knoll Dr
Matthews
NC 28105-2457
Practice Telephone 7049008960
Mailing Telephone 8478998037
Enumeration Date 2012-07-09
Last Update Date 2015-11-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2251X0800X Physical Therapist
Specialization: Orthopedic
P13724 NC Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NC MEDICARE PTAN Q40350A 01

Office Location

Street Address 8918 BLAKENEY PROFESSIONAL DR
SUITE 120
City CHARLOTTE
State NC
Zip Code 28277-6691

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548244908 Alan D Tyson Physical Therapist 8918 Blakeney Professional Dr, Suite 120, Charlotte, NC 28277-6691 2005-11-30
1871084392 Christopher Cox Physical Therapist 8918 Blakeney Professional Dr, Charlotte, NC 28277-6691 2018-05-21
1124477971 Chandler Page Thomas Physical Therapist 8918 Blakeney Professional Dr, Suite 120, Charlotte, NC 28277-6691 2016-06-11
1285010025 Leon Knight Physical Therapist 8918 Blakeney Professional Dr, Suite 120, Charlotte, NC 28277-6691 2015-08-04
1679952709 Candace Myers Specialist/Technologist 8918 Blakeney Professional Dr, Suite 120, Charlotte, NC 28277-6691 2015-05-21
1598997751 Timothy William Jackson Physical Therapist 8918 Blakeney Professional Dr, Suite 120, Charlotte, NC 28277-6691 2009-08-20
1780834697 Architech Sports and Physical Therapy, Inc. Clinic/Center 8918 Blakeney Professional Dr, Charlotte, NC 28277-6691 2008-09-27
1225288137 Alicia B Tyson Physical Therapist 8918 Blakeney Professional Dr, Charlotte, NC 28277-6691 2008-09-27
1508940826 George Alexander Betancourt Dentist 8918 Blakeney Professional Dr, Suite 100, Charlotte, NC 28277-6660 2006-10-24
1790873917 John Michael Bovard Chiropractor 8918 Blakeney Professional Dr, Suite 110, Charlotte, NC 28277-6660 2006-10-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255949731 New Life Peer Support and Coaching LLC Clinic/Center 3450 Toringdon Way, Suite 200, Charlotte, NC 28277 2020-07-21
1083256762 Speak Life Counseling Services, Pllc Counselor 16147 Lacaster Hwy, Suite 110, Charlotte, NC 28277 2019-10-14
1275010019 Jigneshkumar R Mistry Pharmacist 11805 Allforth Ln Apt 2105, Charlotte, NC 28277 2018-07-24
1255825410 Novant Medical Group Inc. Family Medicine 15033 Balloncroft Parkway, Suite 200, Charlotte, NC 28277 2018-06-20
1447752316 Harris Teeter LLC Durable Medical Equipment & Medical Supplies 11135 Golf Links Dr, Charlotte, NC 28277 2018-03-06
1932607595 Charlotte Proactive Md PC Clinic/Center 11220 Golf Links Drive North, Charlotte, NC 28277 2018-01-30
1003331521 Accela Spine and Pain, Pllc Anesthesiology 10120 Ivey Chase Lane, Apt 617, Charlotte, NC 28277 2017-08-04
1265961619 Dominicka Whitaker Counselor 12365 Bluestem Ln., Charlotte, NC 28277 2017-06-08
1083143408 Monika D Hayes Counselor 11330 Snapfinger Drive, Charlotte, NC 28277 2017-06-08
1225582984 Danielle Mcdaniel Occupational Therapist 5113 Piper Station Dr Ste 103, Charlotte, NC 28277 2016-08-11
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Taxonomy Information

Taxonomy Code 2251X0800X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist
Specialization Orthopedic

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679032866 David James Lawton Physical Therapist 101 E W T Harris Blvd Ste 5001, Charlotte, NC 28262-3574 2019-03-18
1396263620 Daniel Steele Physical Therapist 7825 Ballantyne Commons Pkwy Ste 210, Charlotte, NC 28277-3729 2017-09-07
1831546993 Michael Crinion Physical Therapist 8918 Blakeney Professional Dr Ste 120, Charlotte, NC 28277-6692 2016-05-18
1659741528 Valerie Ashburn Physical Therapist 2630 E 7th St Ste 206, Charlotte, NC 28204-4319 2015-10-04
1013141647 Melissa Rose Dupree Physical Therapist 2064 Ayrsley Town Blvd Unit A, Charlotte, NC 28273-4221 2009-05-11
1255310793 Thomas S Campion Physical Therapist 3135 Springbank Ln, Suite 220, Charlotte, NC 28226-3360 2006-01-12
1326022344 Carol Myrtle Green Physical Therapist 3541 Randolph Rd, Ste 100w, Charlotte, NC 28211-1082 2005-12-02
1295719425 Jason Arthur Mcdowell Physical Therapist 4421 Sharon Rd Ste 100, Charlotte, NC 28211-5585 2005-12-01
1548244908 Alan D Tyson Physical Therapist 8918 Blakeney Professional Dr, Suite 120, Charlotte, NC 28277-6691 2005-11-30
1881677375 Jennifer Sue Kane Physical Therapist 5960 Fairview Rd, Suite 250, Charlotte, NC 28210-3102 2005-11-29
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Competitor

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City CHARLOTTE
Zip Code 28277

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Dataset Information

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.

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