Active NPI
Tegan Hinaman
- Rehabilitation Clinic/Center
- Conway, SC
National Provider Identifier
1083071807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- License
- 1530
- Legal business name
- TEGAN HINAMAN
- Practice address
- 302 Kiskadee Loop
Unit a
Conway, SC 29526-9771 - Phone
- (570) 447-3010
- NPI assigned
- Jan 25, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tegan Marie Hinaman, MS ATC SCAT
- Title
- Athletic Trainer
- Phone
- (570) 447-3010
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | 1530 | SC | Primary |
Addresses
Primary practice location
302 Kiskadee Loop
Unit a
Conway, SC 29526-9771
Mailing address
302 Kiskadee Loop
Unit a
Conway, SC 29526-9771
Phone (570) 447-3010
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453680000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1453680000000",
"number": "1083071807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 KISKADEE LOOP",
"address_2": "UNIT A",
"city": "CONWAY",
"state": "SC",
"postal_code": "295269771",
"telephone_number": "570-447-3010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 KISKADEE LOOP",
"address_2": "UNIT A",
"city": "CONWAY",
"state": "SC",
"postal_code": "295269771",
"telephone_number": "570-447-3010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TEGAN HINAMAN",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-25",
"last_updated": "2016-01-25",
"status": "A",
"authorized_official_last_name": "HINAMAN",
"authorized_official_first_name": "TEGAN",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "ATHLETIC TRAINER",
"authorized_official_telephone_number": "570-447-3010",
"authorized_official_credential": "MS ATC SCAT"
},
"taxonomies": [
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": "SC",
"license": "1530",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conway, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.