Active NPI
Analyn M McCutchen, RPT
- Geriatric Physical Therapist
- Inman, SC
National Provider Identifier
1104026111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- 2769
- Practice address
- 63 Blacstock Rd
Inman, SC 29349 - Phone
- (864) 472-9055
- Fax
- (864) 472-5115
- NPI assigned
- Jul 19, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | 2769 | SC | Primary |
Addresses
Primary practice location
63 Blacstock Rd
Inman, SC 29349
Mailing address
63 Blacstock Rd
Inman, SC 29349
Phone (864) 472-9055
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2769 | SC | MD | Geriatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184803200000",
"number": "1104026111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63 BLACSTOCK RD",
"city": "INMAN",
"state": "SC",
"postal_code": "29349",
"telephone_number": "864-472-9055",
"fax_number": "864-472-5115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "63 BLACSTOCK RD",
"city": "INMAN",
"state": "SC",
"postal_code": "29349",
"telephone_number": "864-472-9055",
"fax_number": "864-472-5115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCUTCHEN",
"first_name": "ANALYN",
"middle_name": "M",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-19",
"last_updated": "2007-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "SC",
"license": "2769",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Inman, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.