Individual provider Active NPI

Thomas Leonard O'Quinn, PTA

  • Physical Therapy Assistant
  • Charleston, SC
National Provider Identifier
1225787575
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
3799 Issued in SC
Practice address
1954 Ashley River Rd Ste E
Charleston, SC 29407-4904
Phone
(843) 761-1480
Fax
(843) 761-1481
NPI assigned
Mar 23, 2022
Last updated
Mar 23, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 3799 SC Primary

Addresses

Primary practice location

1954 Ashley River Rd Ste E
Charleston, SC 29407-4904

Mailing address

1954 Ashley River Rd Ste E
Charleston, SC 29407-4904
Phone (843) 761-1480

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
3799SCMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Berkeley Rehabilitation, LLC CurrentSince Mar 27, 2022 Accepting new patients

Locations

1954 Ashley River Rd
Ste E
Charleston, SC 29407
Phone (843) 751-1480

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": "1647993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1225787575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1954 ASHLEY RIVER RD STE E",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074904",
            "telephone_number": "843-761-1480",
            "fax_number": "843-761-1481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1954 ASHLEY RIVER RD STE E",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074904",
            "telephone_number": "843-761-1480",
            "fax_number": "843-761-1481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'QUINN",
        "first_name": "THOMAS",
        "middle_name": "LEONARD",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-23",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "SC",
            "license": "3799",
            "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 Mar 23, 2022; 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.