Individual provider Active NPI

Terry Jon Holder-Ryder, DPT

  • Ergonomics Physical Therapist
  • Daniel Island, SC
National Provider Identifier
1154593812
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ergonomics Physical TherapistTaxonomy code 2251E1200X
License
6768 Issued in SC
Practice address
295 Seven Farms Dr Ste C-249
Daniel Island, SC 29492-8001
Phone
(843) 732-1732
NPI assigned
Apr 2, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physical Therapist 2251N0400X 10032 NC
Ergonomics Physical Therapist 2251E1200X 6768 SC Primary

Addresses

Primary practice location

295 Seven Farms Dr Ste C-249
Daniel Island, SC 29492-8001

Mailing address

295 Seven Farms Dr Ste C-249
Daniel Island, SC 29492-8001
Phone (843) 732-1732

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

LicenseStateTypeSpecialty
6768SCMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1154593812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 SEVEN FARMS DR STE C-249",
            "city": "DANIEL ISLAND",
            "state": "SC",
            "postal_code": "294928001",
            "telephone_number": "843-732-1732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 SEVEN FARMS DR STE C-249",
            "city": "DANIEL ISLAND",
            "state": "SC",
            "postal_code": "294928001",
            "telephone_number": "843-732-1732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLDER-RYDER",
        "first_name": "TERRY",
        "middle_name": "JON",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-02",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "NC",
            "license": "10032",
            "primary": false
        },
        {
            "code": "2251E1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Ergonomics",
            "state": "SC",
            "license": "6768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daniel Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; 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.