GARRY DREDGE (NPI# 1114385770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114385770 |
| Entity Type | Individual |
| Full Name | GARRY DREDGE |
| Credential | DPT |
| Practice Address |
4500 Stuart St Columbia SC 29207-5700 |
| Practice Telephone | 8037512253 |
| Mailing Telephone | 8037512253 |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2016-02-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
7985 | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4500 STUART ST |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29207-5700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912505231 | Christopher Michael Enke | Occupational Therapist | 4500 Stuart St, Columbia, SC 29207-5700 | 2020-10-09 |
| 1366071144 | Kaitlin Chrastek | Specialist/Technologist | 4500 Stuart St, Columbia, SC 29207-5700 | 2020-04-03 |
| 1316582455 | Melissa Angela Metivier | Physical Therapist | 4500 Stuart St, Columbia, SC 29207-5700 | 2019-11-13 |
| 1952954695 | Jeriann Sandrik | Optometrist | 4500 Stuart St, Columbia, SC 29207 | 2019-07-22 |
| 1669946455 | Tonya Yvette Parks | Counselor | 4500 Stuart St, Columbia, SC 29207-5700 | 2019-01-15 |
| 1538653795 | Jennifer L Willard | Licensed Practical Nurse | 4500 Stuart St, Columbia, SC 29207-5700 | 2018-06-20 |
| 1114469475 | Carrie Elizabeth Green | Physical Therapist | 4500 Stuart St, Columbia, SC 29207-5700 | 2016-11-17 |
| 1841640489 | Daniel Greathouse | Optometrist | 4500 Stuart St, 3rd Floor Clinic Wing, Columbia, SC 29207-5700 | 2016-06-14 |
| 1356796205 | Rajesh Devkota | Nurse Practitioner | 4500 Stuart St, Columbia, SC 29207-5700 | 2016-04-28 |
| 1205292083 | Sarah Wax | Dietitian, Registered | 4500 Stuart St, Columbia, SC 29207 | 2016-01-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265043756 | Steven Mariani Rodriguez | Dentist | 5330 Moseby Street, Columbia, SC 29207 | 2020-08-10 |
| 1568082493 | Nichole Eckrich | Dentist | 5330 Moseby St., Columbia, SC 29207 | 2020-04-21 |
| 1730733007 | Forrest Wane Fullenkamp | Student in an Organized Health Care Education/Training Program | 5330 Moseby St, Columbia, SC 29207 | 2019-07-25 |
| 1306401625 | Kayla Anne Wolcott | Pharmacist | Moncrief Army Hospital Outpatient Pharmacy 1 Ft Jackson, Columbia, SC 29207 | 2019-05-02 |
| 1588145098 | Renetta Denise Green | Counselor | Fort Jackson/acs 9810 Lee St, Columbia, SC 29207 | 2018-08-23 |
| 1154814028 | Amanda Zelnick | Dentist | Bldg 5330 Moseby St, Ft Jackson, NC 29207 | 2018-06-14 |
| 1790231777 | Brittaney Elizabeth Anne Lewelling | Specialist/Technologist | 5975 Chesnut Road, Columbia, SC 29207 | 2016-08-30 |
| 1376749838 | Moncrief Army Community Hospital | Clinic/Center | 5330 Mosby Street, Fort Jackson, SC 29207 | 2007-06-22 |
| 1902002462 | Moncrief Army Community Hospital | Clinic/Center | 1890 Washington Road, Fort Jackson, SC 29207 | 2007-06-22 |
| 1730279860 | Donna L Briquet | Pharmacist | 4500 Marion Street, Columbia, SC 29207 | 2006-10-12 |
| Find all providers in zip 29207 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457733594 | Rene Terese Scheuer | Physical Therapist | 116 Harborside Cir, Columbia, SC 29229-7585 | 2015-06-25 |
| 1275898421 | Jennifer M Breithaupt | Physical Therapist | 9160 Rumsey Rd Ste B4, Columbia, MD 21045-2034 | 2012-07-12 |
| 1831408673 | Michael F Frossard Jr. | Physical Therapist | 4004 Peach Ct Ste H, Columbia, MO 65203-3800 | 2010-09-28 |
| 1487708178 | Chesapeake Physical Aquatic Therapy, Inc. | Physical Therapist | 7080 Deepage Dr., Columbia, MD 21045 | 2007-01-22 |
| 1356401780 | Daryl Kozon Arnold | Physical Therapist | 8885 Centre Park Drive, Physiotherapy Associates, Columbia, MD 21045 | 2006-12-08 |
| 1285701367 | Her Health Physical Therapy LLC | Physical Therapist | 10705 Charter Dr, Suite 420, Columbia, MD 21044-2893 | 2006-11-30 |
| 1275610057 | Stephanie Taylor | Physical Therapist | 14 Medical Park Dr Suite, Moore Orthopaedic Clinic, P.a., Columbia, SC 29203 | 2006-11-01 |
| 1336751593 | Carly Holthausen | Physical Therapist | 21 Gateway Corners Park Ste 102, Columbia, SC 29203-8906 | 2020-08-19 |
| 1972123867 | Alexander Anderson | Physical Therapist | 300 Palmetto Health Pkwy Ste 201, Columbia, SC 29212-1762 | 2020-04-21 |
| 1437531944 | Lyle Oamil | Physical Therapist | 114 Gateway Corporate Blvd, Columbia, SC 29203-9740 | 2015-06-19 |
| Find all providers in COLUMBIA | ||||
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| 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.