DWAYNE ANSEL KING (NPI# 1891063160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891063160 |
Entity Type | Individual |
Full Name | DWAYNE ANSEL KING |
Credential | PT |
Practice Address |
132 B Sunset Court West Columbia SC 29169-2429 |
Practice Telephone | 8037965116 |
Practice Fax Number | 8037965131 |
Mailing Telephone | 8037965116 |
Mailing Fax Number | 8037965131 |
Enumeration Date | 2011-12-01 |
Last Update Date | 2011-12-01 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
6563 | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
132 B SUNSET COURT |
City | WEST COLUMBIA |
State | SC |
Zip Code | 29169-2429 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457960726 | Jerry Scott Oreilly | Physical Therapy Assistant | 100 Dreher Rd, Suite 100, West Columbia, SC 29169 | 2020-07-23 |
1134759921 | A&m Medical, LLC | Durable Medical Equipment & Medical Supplies | 1053 Sunset Boulevard, West Columbia, SC 29169 | 2020-01-21 |
1750946067 | First Physical Therapy, LLC | Clinic/Center | 100 Dreher Rd., Suite 100, West Columbia, SC 29169 | 2019-05-02 |
1295217545 | Tynaka Kwans Wilson | Nurse Practitioner | Sc House Calls Inc, 1053 Center Street, West Columbia, SC 29169 | 2018-09-04 |
1588183826 | Kimberly Jane Jennings | Registered Nurse | 1052 Center Street, Sc House Calls Inc, West Columbia, SC 29169 | 2017-09-19 |
1164943213 | Jacob Luke Wayland | Emergency Medicine | Lexington Medical Center-emergency Medicine Dept, 2720 Sunset Blvd, West Columbia, SC 29169 | 2017-06-29 |
1740721232 | Heather Detwiler | Physical Therapy Assistant | 2705 Leaphart Rd., Carolina Gardens, West Columbia, SC 29169 | 2017-03-16 |
1588110761 | Virginia I Hall | Nurse Practitioner | 2720 Susnet Blvd, West Columbia, SC 29169 | 2016-08-29 |
1215395744 | Stacey Khalifa | Social Worker | 160 Medical Cir Fl 1, West Columbia, SC 29169 | 2016-01-28 |
1407252331 | Sandy Frye Boone | Counselor | 2318 Sunset Blvd # 2a, West Columbia, SC 29169 | 2014-11-04 |
Find all providers in zip 29169 |
Taxonomy Code | 2251X0800X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Orthopedic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487163671 | Derek E Lair | Physical Therapist | 222 E Medical Ln Ste 200, West Columbia, SC 29169-4848 | 2017-09-20 |
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 |
1306143763 | Total Joint and Orthopedic Physical Therapy | Physical Therapist | 6 Pleasant Place Ct, Beaufort, SC 29907-1187 | 2011-02-22 |
Find all providers with the same taxonomy |
City | WEST COLUMBIA |
Zip Code | 29169 |
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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.