Provider Demographics
NPI:1225738164
Name:J HEATH THERAPY LLC
Entity Type:Organization
Organization Name:J HEATH THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KATRINA
Authorized Official - Middle Name:JONES
Authorized Official - Last Name:HEATH
Authorized Official - Suffix:
Authorized Official - Credentials:DPT, PRPC,PCES
Authorized Official - Phone:704-426-7519
Mailing Address - Street 1:7107 WESSYNTON DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28226-7548
Mailing Address - Country:US
Mailing Address - Phone:704-426-7519
Mailing Address - Fax:
Practice Address - Street 1:6406 CARMEL RD STE 309
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28226-8267
Practice Address - Country:US
Practice Address - Phone:704-412-2001
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-08
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty