Active NPI
Trey Allen Head, LPTA
- Physical Therapist
- West Columbia, SC
National Provider Identifier
1265207302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTA11583
- Practice address
- 2993 Sunset Blvd
West Columbia, SC 29169-3421 - Phone
- (002) 680-3939
- NPI assigned
- Nov 20, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Physical Therapist | 225100000X | PTA11583 | AL | Primary |
Addresses
Primary practice location
2993 Sunset Blvd
West Columbia, SC 29169-3421
Mailing address
2993 Sunset Blvd
West Columbia, SC 29169-3421
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 |
|---|---|---|---|
| PTA11583 | AL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700438400000",
"number": "1265207302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2993 SUNSET BLVD",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291693421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2993 SUNSET BLVD",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291693421",
"telephone_number": "002-680-3939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEAD",
"first_name": "TREY",
"middle_name": "ALLEN",
"credential": "LPTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-11-20",
"last_updated": "2023-11-20",
"certification_date": "2023-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTA11583",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Columbia, SC
- Lashon Denise Haynes-Deisch
- John William Haynes, M.D.
- Erin Rikard Hays, MD
- Ashley Torroni Hazelrigg, APRN
- Brian Kent Heaberlin, MD
- Jill B Healey, M.D.
- Healing Roots Therapy and Consulting Services LLC.
- Healthsource of West Columbia
- Healthstat Onsite Clinic Harsco Rail
- Healthwise Personal Services, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.