MR. JEREMY NICHOLS (NPI# 1861510372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861510372 |
| Entity Type | Individual |
| Full Name | MR. JEREMY NICHOLS |
| Credential | MS |
| Practice Address |
2515 Evans St Newberry SC 29108-2939 |
| Mailing Address |
115 Pettus Ln Newberry SC 29108 |
| Practice Telephone | 8032767370 |
| Practice Fax Number | 8032767369 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
5216 | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396027298 | Jeremy Andrew Nichols | Pharmacist | 300 N Michigan Ave, Chicago, IL 60601-3778 | 2011-09-15 |
| 1700142502 | Jeremy Nichols | Technician | 1600 Gratiot Blvd, Marysville, MI 48040-1145 | 2012-04-05 |
| Street Address |
2515 EVANS ST |
| City | NEWBERRY |
| State | SC |
| Zip Code | 29108-2939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689657264 | Mark Anthony Waldrop | Physical Therapist | 2515 Evans St, Newberry, SC 29108-2939 | 2005-11-28 |
| 1851930549 | Christine Davenport | Physical Therapist | 2515 Evans St, Newberry, SC 29108-2939 | 2019-12-30 |
| 1184283046 | Lukas Daniel | Physical Therapist | 2515 Evans St, Newberry, SC 29108-2939 | 2019-06-13 |
| 1538632831 | Caleen Nicole Hawkins | Physical Therapist | 2515 Evans St, Newberry, SC 29108-2939 | 2019-01-09 |
| 1598920811 | Mathew Whitaker | Physical Therapist | 2515 Evans St, Newberry, SC 29108-2939 | 2008-07-25 |
| 1477746253 | Jennifer Frick Amick | Physical Therapist | 2515 Evans St, Newberry, SC 29108-2939 | 2007-08-24 |
| 1871716514 | Newberry Physical Therapy and Sports Medicine Clinic Inc | Physical Therapist | 2515 Evans St, Newberry, SC 29108-2939 | 2007-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104472109 | Palmetto Bone and Joint | Pain Medicine | Palmetto Bone and Joint, 2605 Kinard St Suite 105, Newberry, SC 29108 | 2019-08-15 |
| 1922578582 | Joni Seibert Chapman | Registered Nurse | 3419 Main Street, Newberry, SC 29108 | 2018-11-27 |
| 1235652967 | Stephanie M Fulmer | Nurse Practitioner | 2351 Evans Street, Suite A, Newberry, SC 29108 | 2017-07-25 |
| 1497152177 | Frances Diane Martin | Registered Nurse | 9307 Sc Highway 34, Newberry, SC 29108 | 2014-11-25 |
| 1528463254 | Lauren Flynn | Registered Nurse | 3419 Main St, Newberry, SC 29108 | 2014-10-23 |
| 1689017998 | Charlene Kneece | Registered Nurse | 255 Hawkins Road, Newberry, SC 29108 | 2013-04-17 |
| 1952642423 | Allison Kyzer Gardner | Chiropractor | 3218 College Street, Newberry, SC 29108 | 2013-03-08 |
| 1972853372 | Dipa Mcgee | Pharmacist | 1210 Wilson Road, Newberry, SC 29108 | 2012-09-12 |
| 1730339060 | Fresenius Medical Care Cna Kidney Centers, LLC | Clinic/Center | 2850 Kinard St, Newberry, SC 29108 | 2008-09-23 |
| 1508042201 | Newberry Oncology Associates | Radiology | 298 Commerce Dr., Newberry, SC 29108 | 2008-01-14 |
| Find all providers in zip 29108 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437551512 | Weiwei Guan | Physical Therapist | 12830 Sw 1st Ln, Suite 100, Newberry, FL 32669-3260 | 2014-09-21 |
| 1871716514 | Newberry Physical Therapy and Sports Medicine Clinic Inc | Physical Therapist | 2515 Evans St, Newberry, SC 29108-2939 | 2007-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770101388 | Chelsea Marie Clark | Physical Therapist | 10 Tupelo Ct, Greenville, SC 29609-6027 | 2020-07-09 |
| 1659921252 | Caitlin Mckenzie Fogarty | Physical Therapist | 25 Pearce Rd, Bluffton, SC 29910-9353 | 2019-09-16 |
| 1205280229 | Sarah Enzaldo Smith | Physical Therapist | 214 Saint James Ave Ste 140b, Goose Creek, SC 29445-2974 | 2016-04-15 |
| 1073978177 | Seaside Physical Therapy, LLC | Physical Therapist | 1264 Smythe St, Daniel Island, SC 29492-8375 | 2015-12-16 |
| 1457733594 | Rene Terese Scheuer | Physical Therapist | 116 Harborside Cir, Columbia, SC 29229-7585 | 2015-06-25 |
| 1962884452 | Jonathan Leigh Breeden | Physical Therapist | 148 Ridge Terrace Ln, Lexington, SC 29073-6878 | 2015-06-22 |
| 1720485964 | Katherine Mary Robertson | Physical Therapist | 11 Hospital Center Blvd, Ste 250, Hilton Head Island, SC 29926-2734 | 2014-12-03 |
| 1346647963 | Catherine Sease | Physical Therapist | 753 Sappho Ct, Mt Pleasant, SC 29464-5132 | 2014-11-25 |
| 1871913517 | Yakia Graham-foxe | Physical Therapist | 2619 Javelin Cir, Effingham, SC 29541-4441 | 2014-04-21 |
| 1891063160 | Dwayne Ansel King | Physical Therapist | 132 B Sunset Court, West Columbia, SC 29169-2429 | 2011-12-01 |
| Find all providers with the same taxonomy | ||||
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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.