Individual provider Active NPI

Thomas Harmon, PT, DPT

  • Physical Therapist
  • Irmo, SC
National Provider Identifier
1306258850
Registry record updated Oct 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7391 Issued in SC
Practice address
1036 Kinley Rd
Suite a
Irmo, SC 29063-9632
Phone
(803) 528-6335
NPI assigned
Jun 2, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2014

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 7391 SC Primary

Addresses

Primary practice location

1036 Kinley Rd
Suite a
Irmo, SC 29063-9632

Mailing address

1036 Kinley Rd
Suite a
Irmo, SC 29063-9632
Phone (803) 764-6488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141016000090 SC Practitioner - Physical Therapist in Private Practice 5991926990 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1036 Kinley Rd
Suite a
Irmo, SC 29063-9632
Phone (803) 764-6488

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7391SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Trek Physical Therapy and Assistive Applied Sciences, LLP Physical Therapist CurrentSince Sep 1, 2014 Accepting new patients

Locations

1036 Kinley Rd
Ste A
Irmo, SC 29063
Phone (803) 528-6335

1036 Kinley Rd
#A
Irmo, SC 29063
Phone (803) 407-1078

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413849600000",
    "number": "1306258850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1036 KINLEY RD",
            "address_2": "SUITE A",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290639632",
            "telephone_number": "803-764-6488",
            "fax_number": "803-764-6572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1036 KINLEY RD",
            "address_2": "SUITE A",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290639632",
            "telephone_number": "803-528-6335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARMON",
        "first_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-02",
        "last_updated": "2014-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "7391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irmo, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.