NPIMap

Organization Active NPI

Hitchcock Healthcare, Incorporated

  • Physical Therapist
  • Aiken, SC
National Provider Identifier
1295797314
Registry record updated Jul 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
HITCHCOCK HEALTHCARE, INCORPORATED
Practice address
690 Medical Park Dr
Aiken, SC 29801-6348
Phone
(803) 648-8344
NPI assigned
Apr 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2013

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

Authorized official

Name
Karen Bowles
Title
Executive Director
Phone
(803) 293-4342

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

690 Medical Park Dr
Aiken, SC 29801-6348

Mailing address

690 Medical Park Dr
Aiken, SC 29801-6348

Other identifiers 3

IdentifierTypeStateIssuer
154698700OtherSCWORKER'S COMP.
GP0275MedicaidSC
342053MedicaidSC

National Provider Directory

National Provider Directory

Locations

690 Medical Park Dr
Aiken, SC 29801
Phone (803) 221-7984

440 Society Hill Dr
Ste 101
Aiken, SC 29803
Phone (803) 226-0136

10588 Dunbarton Blvd
Barnwell, SC 29812
Phone (803) 259-5838

211 Norris St
Edgefield, SC 29824
Phone (803) 637-1801

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373414400000",
    "number": "1295797314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 MEDICAL PARK DR",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298016348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 MEDICAL PARK DR",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298016348",
            "telephone_number": "803-648-8344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HITCHCOCK HEALTHCARE, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-04",
        "last_updated": "2013-07-10",
        "status": "A",
        "authorized_official_last_name": "BOWLES",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "803-293-4342"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKER'S COMP.",
            "identifier": "154698700",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP0275",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "342053",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; 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.