Jonathan Vaden, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

8706 Issued in SC

Practice address

1941 Savage Rd Ste 300a
Charleston, SC 29407-4790

Phone

(843) 402-1495

NPI assigned

Aug 4, 2017

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Virtus Health - Performance

  • Physical Therapist
  • Hanahan, SC
  • NPI 1922572213
  NPD Authorized official

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

{
    "created_epoch": "1501804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501804800000",
    "number": "1033634605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 SAVAGE RD STE 300A",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074790",
            "telephone_number": "843-402-1495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VADEN",
        "first_name": "JONATHAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-04",
        "last_updated": "2017-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "8706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "8706",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Esther Uzondu
• VA Medical Center
• VA Medical Center
• VA Medical Center Charleston
• Penelope Lynn Vachon, DNP
• Vilija Jo Vaitaitis
• Karalina Valente
• Maria A Valente, ANP
• Patrick Michael Valente, MD
• Nina Valentine

• Physical Therapist in Charleston, SC
• Providers in Charleston, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2017; 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.