Jordan Brown Oates

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2707 Issued in SC

Practice address

379 Pinehaven Street Ext
Laurens, SC 29360-2672

Phone

(864) 984-6584

Fax

(864) 984-6464

NPI assigned

Jan 3, 2012

Last updated

May 9, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1325548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368057600000",
    "number": "1003186404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 HUDDERS CREEK WAY",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296803543",
            "telephone_number": "864-360-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "379 PINEHAVEN STREET EXT",
            "city": "LAURENS",
            "state": "SC",
            "postal_code": "293602672",
            "telephone_number": "864-984-6584",
            "fax_number": "864-984-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OATES",
        "first_name": "JORDAN",
        "middle_name": "BROWN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-03",
        "last_updated": "2013-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "SC",
            "license": "2707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica L Newton, OTR/L
• NHC Healthcare-Laurens LLC (NHC HealthCare, Laurens)
• Heather Nicholson, M.S., CF-SLP
• Kyle Ryck Nield, DDS
• Novacare, LLC
• Robbie Howard Owens, COTA/L
• Bhavna T Pahel, DDS, PHD
• Palmetto Health (Pastoral Counseling Center of Chestnut Ridge)
• Palmetto Health Alliance (The Pastoral Counseling Center of Laurens)
• Howard Byron Parker Jr., M.D.

• Physical Therapy Assistant in Laurens, SC
• Providers in Laurens, SC by specialty
• Physical Therapy Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.