Provider Demographics
NPI:1477854263
Name:JONES, CARRIE YVONNE (DPT)
Entity type:Individual
Prefix:
First Name:CARRIE
Middle Name:YVONNE
Last Name:JONES
Suffix:
Gender:
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5011 WEDDINGTON RD STE 50
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28027-9037
Mailing Address - Country:US
Mailing Address - Phone:980-248-1211
Mailing Address - Fax:980-248-1212
Practice Address - Street 1:5011 WEDDINGTON RD STE 50
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28027-9037
Practice Address - Country:US
Practice Address - Phone:980-248-1211
Practice Address - Fax:980-248-1212
Is Sole Proprietor?:No
Enumeration Date:2010-11-09
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC14309225100000X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCPENDINGMedicaid