DEBORAH ANN TRUETT (NPI# 1336578012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336578012 |
| Entity Type | Individual |
| Full Name | DEBORAH ANN TRUETT |
| Credential | PT |
| Practice Address |
335 Four Mile Rd Conway SC 29526-4506 |
| Practice Telephone | 8434886700 |
| Practice Fax Number | 8434887071 |
| Mailing Telephone | 8434886700 |
| Mailing Fax Number | 8434887071 |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2013-11-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
1522 | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
335 FOUR MILE RD |
| City | CONWAY |
| State | SC |
| Zip Code | 29526-4506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184964009 | Traci M Hogan | Speech-Language Pathologist | 335 Four Mile Rd, Conway, SC 29526-4506 | 2013-03-01 |
| 1740832674 | Tammy Jo Trulove | Registered Nurse | 335 Four Mile Rd, Conway, SC 29526-4506 | 2019-07-11 |
| 1730500331 | Conswella Mitchell | Counselor | 335 Four Mile Rd, Conway, SC 29526-4506 | 2013-12-27 |
| 1457782799 | Jennifer Petiteau | Speech-Language Pathologist | 335 Four Mile Rd, Conway, SC 29526-4506 | 2013-12-12 |
| 1447681879 | Marci Groff | Speech-Language Pathologist | 335 Four Mile Rd, Conway, SC 29526-4506 | 2013-12-11 |
| 1821428558 | Barbara Williams | Speech-Language Pathologist | 335 Four Mile Rd, Conway, SC 29526-4506 | 2013-11-15 |
| 1235569245 | Alison Quinn | Speech-Language Pathologist | 335 Four Mile Rd, Conway, SC 29526-4506 | 2013-11-13 |
| 1225467301 | Janice Edwards | Speech-Language Pathologist | 335 Four Mile Rd, Conway, SC 29526-4506 | 2013-11-08 |
| 1912335597 | Cheri Lyn Mcilwain | Speech-Language Pathologist | 335 Four Mile Rd, Conway, SC 29526-4506 | 2013-10-17 |
| 1235567983 | Caroline Zito | Speech-Language Pathologist | 335 Four Mile Rd, Conway, SC 29526-4506 | 2013-10-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457975237 | Terri L Champion | Massage Therapist | 172 Waccamaw Medical Park Court, Conway, SC 29526 | 2020-06-08 |
| 1689204398 | Alayna Defalco | Clinical Exercise Physiologist | 1320 501 Business, Unit E, Conway, SC 29526 | 2020-01-22 |
| 1124672662 | Proxsys Rx - Sc, LLC | Pharmacy | 300 Singelton Ridge Road, Conway, SC 29526 | 2019-08-01 |
| 1598227431 | Surgery Center of Conway Inc | Clinic/Center | 1405 Main Street, Conway, SC 29526 | 2019-04-01 |
| 1801374962 | Trevor James Hess | Specialist/Technologist | 905 One Landon Loop, Conway, SC 29526 | 2018-08-01 |
| 1851800817 | Katherine Ann Nimphius | Behavioral Analyst | 105 Timberline Dr, Conway, SC 29526 | 2017-09-21 |
| 1922544253 | William Houck | Specialist/Technologist | 925 One Landon Loop, Conway, SC 29526 | 2017-01-10 |
| 1952857278 | Courtney Jeanette Smith | Counselor | 164 Waccamaw Medical Park Dr., Conway, SC 29526 | 2016-08-28 |
| 1336502632 | Jebediah S. Christy, D.d.s - Conway, Pllc | Dentist | 2756 Church St, Conway, SC 29526 | 2016-04-04 |
| 1447615208 | Abl Enterprises, LLC | Optometrist | 113 Citadel Drive, Conway, SC 29526 | 2015-12-22 |
| Find all providers in zip 29526 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205346111 | Rehabilitation Network Outpatient Services LLC | Physical Therapist | 93 Roden Mill Rd, Conway, AR 72032-9555 | 2017-10-05 |
| 1245388446 | Dee Ann Smith | Physical Therapist | 2915 Dave Ward Dr, Suite 8, Conway, AR 72034-9310 | 2007-01-06 |
| 1942358130 | Amanda Denton | Physical Therapist | 2740 College Avenue, Conway, AR 72034-9310 | 2007-01-06 |
| 1073845657 | Christi Bjornberg | Physical Therapist | 306 Salem Rd, Conway, AR 72034-6159 | 2010-02-05 |
| 1689908824 | Kimberly Lancaster | Physical Therapist | 2740 College Ave, Conway, AR 72034-6141 | 2009-09-21 |
| 1356537773 | Amanda M. Overbey | Physical Therapist | 2740 College Ave, Conway, AR 72034-6141 | 2007-09-19 |
| 1295921625 | Melissa A. Orosz | Physical Therapist | 2740 College Ave, Conway, AR 72034-6141 | 2007-09-19 |
| 1649301649 | Shannon M Greenway | Physical Therapist | 1700 South Blvd, Conway, AR 72034-6455 | 2007-03-08 |
| 1750419529 | Melinda Grimes | Physical Therapist | 1700 South Blvd, Conway, AR 72034-6455 | 2007-03-01 |
| 1891847810 | Hannah Bridges | Physical Therapist | 2740 College Avenue, Conway, AR 72034-9310 | 2007-01-18 |
| Find all providers in CONWAY | ||||
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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.