Active NPI
Amber T. Reeves, P.T.
- Pediatric Physical Therapist
- Pendleton, SC
National Provider Identifier
1124076807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 2554
- Practice address
- 315 E Queen St
Pendleton, SC 29670-1721 - Phone
- (864) 403-2000
- NPI assigned
- May 4, 2006
- 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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 2554 | SC | Primary |
Addresses
Primary practice location
315 E Queen St
Pendleton, SC 29670-1721
Mailing address
315 E Queen St
Pendleton, SC 29670-1721
Phone (864) 403-2000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TH0536 | Medicaid | SC | |
| 1942275649 | Medicaid | SC |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380672000000",
"number": "1124076807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 E QUEEN ST",
"city": "PENDLETON",
"state": "SC",
"postal_code": "296701721",
"telephone_number": "864-403-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 E QUEEN ST",
"city": "PENDLETON",
"state": "SC",
"postal_code": "296701721",
"telephone_number": "864-403-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REEVES",
"first_name": "AMBER",
"middle_name": "T.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-04",
"last_updated": "2013-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "SC",
"license": "2554",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "TH0536",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1942275649",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pendleton, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.