Provider Demographics
NPI:1003241720
Name:JOST, JOY HEATHER (PT, DPT)
Entity type:Individual
Prefix:
First Name:JOY
Middle Name:HEATHER
Last Name:JOST
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 601791
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-1791
Mailing Address - Country:US
Mailing Address - Phone:704-316-4768
Mailing Address - Fax:
Practice Address - Street 1:828 JAKE ALEXANDER BLVD W
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28147-1220
Practice Address - Country:US
Practice Address - Phone:980-367-8880
Practice Address - Fax:980-367-8881
Is Sole Proprietor?:No
Enumeration Date:2013-09-12
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP15179225100000X
NJ40QA01503000225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist