Organization Active NPI

Hummel Physical Therapy Inc.

  • Physical Therapist
  • Seneca, SC
National Provider Identifier
1215949003
Registry record updated Nov 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
HUMMEL PHYSICAL THERAPY INC.
Practice address
135 Eagles Nest Park
Suite E
Seneca, SC 29678-2766
Phone
(864) 882-7965
Fax
(864) 882-7967
NPI assigned
Aug 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2007

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

Authorized official

Name
William J Hummel, PTNPI 1518975028
Title
PT/Owner
Phone
(864) 882-7965

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

135 Eagles Nest Park
Suite E
Seneca, SC 29678-2766

Mailing address

135 Eagles Nest Park
Suite E
Seneca, SC 29678-2766
Phone (864) 882-7965

Other identifiers 1

IdentifierTypeStateIssuer
GP0632MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040130000790 SC Part B Supplier - Clinic/Group Practice 7618870155 Receives reassigned benefits from 2 practitioners
Practice locations: Seneca, SC

National Provider Directory

National Provider Directory

Locations

135 Eagles Nest Dr
Seneca, SC 29678
Phone (864) 882-7965

135 Eagles Nest Dr
Ste E
Seneca, SC 29678
Phone (864) 882-7965

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194566400000",
    "number": "1215949003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 EAGLES NEST PARK",
            "address_2": "SUITE E",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296782766",
            "telephone_number": "864-882-7965",
            "fax_number": "864-882-7967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 EAGLES NEST PARK",
            "address_2": "SUITE E",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296782766",
            "telephone_number": "864-882-7965",
            "fax_number": "864-882-7967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMMEL PHYSICAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-11-09",
        "status": "A",
        "authorized_official_last_name": "HUMMEL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PT/OWNER",
        "authorized_official_telephone_number": "864-882-7965",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP0632",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seneca, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.