Individual provider Active NPI

Meaghan Alyssa Joslin, DPT

  • Physical Therapist
  • Johns Island, SC
National Provider Identifier
1255163630
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12490 Issued in SC
Practice address
2052 River Rd Ste E
Johns Island, SC 29455-9043
Phone
(843) 900-6202
NPI assigned
Aug 15, 2024
Last updated
Oct 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 12490 SC Primary

Addresses

Primary practice location

2052 River Rd Ste E
Johns Island, SC 29455-9043

Mailing address

2052 River Rd Ste E
Johns Island, SC 29455-9043
Phone (843) 900-6202

Other names 1

  • Meaghan Alyssa Barnum Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
12490SCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1723680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1255163630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2052 RIVER RD STE E",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294559043",
            "telephone_number": "843-900-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2052 RIVER RD STE E",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294559043",
            "telephone_number": "843-900-6202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSLIN",
        "first_name": "MEAGHAN",
        "middle_name": "ALYSSA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-15",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "12490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEAGHAN",
            "last_name": "BARNUM",
            "middle_name": "ALYSSA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Johns Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.