Organization Active NPI

Tegan Hinaman

  • Rehabilitation Clinic/Center
  • Conway, SC
National Provider Identifier
1083071807
Registry record updated Jan 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
1530 Issued in SC
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

Updated by the provider on Jan 25, 2016

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.