Provider Demographics
NPI:1033705470
Name:WINDEKNECHT, JESSICA FIELDER (PT, DPT)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:FIELDER
Last Name:WINDEKNECHT
Suffix:
Gender:
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 1:6719 CASTLEGATE DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28226-7626
Mailing Address - Country:US
Mailing Address - Phone:704-562-2099
Mailing Address - Fax:
Practice Address - Street 1:9111 CEDAR RIVER RD
Practice Address - Street 2:
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-7845
Practice Address - Country:US
Practice Address - Phone:704-817-2159
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-20
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP20875225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist