Active NPI
Charles Christopher Runyon, MPT, MS
- Orthopedic Physical Therapist
- Walterboro, SC
National Provider Identifier
1083869085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 4491
- Practice address
- 2060 Bells Hwy
Walterboro, SC 29488-6815 - Phone
- (843) 538-2055
- Fax
- (843) 538-2058
- NPI assigned
- Nov 18, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 4491 | SC | Primary |
Addresses
Primary practice location
2060 Bells Hwy
Walterboro, SC 29488-6815
Mailing address
2060 Bells Hwy
Walterboro, SC 29488-6815
Phone (843) 538-2055
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4491 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226966400000",
"number": "1083869085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2060 BELLS HWY",
"city": "WALTERBORO",
"state": "SC",
"postal_code": "294886815",
"telephone_number": "843-538-2055",
"fax_number": "843-538-2058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2060 BELLS HWY",
"city": "WALTERBORO",
"state": "SC",
"postal_code": "294886815",
"telephone_number": "843-538-2055",
"fax_number": "843-538-2058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUNYON",
"first_name": "CHARLES",
"middle_name": "CHRISTOPHER",
"name_prefix": "Mr.",
"credential": "MPT, MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-11-18",
"last_updated": "2008-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "SC",
"license": "4491",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walterboro, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.