Individual provider Active NPI

Nathan Alexander Jones, PT, DPT, CSCS

  • Physical Therapist
  • Mount Pleasant, SC
National Provider Identifier
1295188746
Registry record updated Aug 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8172 Issued in SC
Practice address
900 Johnnie Dodds Blvd
Suite 100
Mount Pleasant, SC 29464-6130
Phone
(843) 606-1490
NPI assigned
Jul 20, 2016
Last updated
Aug 23, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2016

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 8172 SC Primary

Addresses

Primary practice location

900 Johnnie Dodds Blvd
Suite 100
Mount Pleasant, SC 29464-6130

Mailing address

900 Johnnie Dodds Blvd
Ste 100
Mount Pleasant, SC 29464-6130
Phone (831) 277-3840

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
8172SCMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471910400000",
    "number": "1295188746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 JOHNNIE DODDS BLVD",
            "address_2": "STE 100",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294646130",
            "telephone_number": "831-277-3840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 JOHNNIE DODDS BLVD",
            "address_2": "SUITE 100",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294646130",
            "telephone_number": "843-606-1490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "NATHAN",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-20",
        "last_updated": "2016-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "8172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; 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.