Active NPI
Anne Barnwell Jenkins, PT, DPT
- Pediatric Physical Therapist
- Charleston, SC
National Provider Identifier
1184402554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 11882
- Practice address
- 142 Sportsman Island Dr Ste E
Charleston, SC 29492-8524 - Phone
- (843) 696-2174
- NPI assigned
- Sep 18, 2023
- Last updated
- Sep 18, 2023
- 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 | 11882 | SC | Primary |
Addresses
Primary practice location
142 Sportsman Island Dr Ste E
Charleston, SC 29492-8524
Mailing address
2 Ipswich CT Unit a
Charleston, SC 29403-7002
Phone (803) 429-0083
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 |
|---|---|---|---|
| 11882 | SC | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holy City Pediatric Therapy LLC | Pediatrics | Current | Accepting new patients |
Locations
142 Sportsman Island Dr
Ste E
Daniel Island, SC 29492
Phone (843) 696-2174
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694995200000",
"number": "1184402554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 IPSWICH CT UNIT A",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294037002",
"telephone_number": "803-429-0083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "142 SPORTSMAN ISLAND DR STE E",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294928524",
"telephone_number": "843-696-2174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "ANNE",
"middle_name": "BARNWELL",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-18",
"last_updated": "2023-09-18",
"certification_date": "2023-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "SC",
"license": "11882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.