Wade Duncan Sparks, RKT

Primary specialty

KinesiotherapistTaxonomy code 226300000X

License

1377 Issued in FL

Practice address

6439 Garners Ferry Rd
Columbia, SC 29209-1638

Phone

(803) 776-4000

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mr. Wade Sparks Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• William Jennings Bryan Dorn Veterans Hospital

  • General Acute Care Hospital
  • Columbia, SC
  • NPI 1356390355
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154432185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 LOGGERHEAD DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292297911",
            "telephone_number": "803-699-9887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6439 GARNERS FERRY RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292091638",
            "telephone_number": "803-776-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "WADE",
        "middle_name": "DUNCAN",
        "name_prefix": "Mr.",
        "credential": "RKT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "226300000X",
            "taxonomy_group": "",
            "desc": "Kinesiotherapist",
            "state": "FL",
            "license": "1377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WADE",
            "last_name": "SPARKS",
            "prefix": "MR.",
            "credential": "REGISTERED KINESIOTH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Teresa A Spann
• George Lionel Spanos, AU.D.
• Jetta Sparks, APRN
• Kathryn Elaine Sparks, LPN
• Savannah Sparks, PHARMD
• Whitney Sparks, PHARMD
• Mae Parker Sparrow
• Alexandra Marie Sparta, DO
• Micheal George Spates
• Daniel Spaulding

• Kinesiotherapist in Columbia, SC
• Providers in Columbia, SC by specialty
• Kinesiotherapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.