Christopher S Mims, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2582 Issued in SC

Practice address

4100 Main St
Suite 204
Columbia, SC 29203-5800

Phone

(803) 735-8047

NPI assigned

Mar 9, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• First Choice Rehab Center

  • Physical Therapist
  • Columbia, SC
  • NPI 1932320025
  NPD

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1225160088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 MAIN ST",
            "address_2": "SUITE 204",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292035800",
            "telephone_number": "803-735-8047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 MAIN ST",
            "address_2": "SUITE 204",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292035800",
            "telephone_number": "803-735-8047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIMS",
        "first_name": "CHRISTOPHER",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "2582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TH0474",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "571096863",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marie Carmelise Milord, MA
• Henretta N Milton-Williams, APRN, FPMHNP-BC, DNP
• Jean Milton
• Latonya Nicole Milton, OTR/L (OCCUPATIONAL
• Brandi Mimbs
• Ryan Christopher Mims, M.D.
• Tammie Mims, P.T.
• Toquita Vineshia Mims
• Anna Mina, DO
• Noah Mina

• Physical Therapist in Columbia, SC
• Providers in Columbia, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.