Jennifer Clark Tuck, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5642 Issued in SC

Practice address

7659 Garners Ferry Rd
Columbia, SC 29209-3857

Phone

(803) 695-6150

NPI assigned

Aug 26, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Doctors Care, PA

  • Family Medicine Physician
  • Columbia, SC
  • NPI 1366499048
  NPD (past)
• Progressive Phyiscal Therapy, PA

  dba Progressive Physical Therapy Seven Oaks

  • Physical Therapist
  • Columbia, SC
  • NPI 1487929105
  NPD (past)

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327276800000",
    "number": "1346497849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 LAVINGTON CT",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292091944",
            "telephone_number": "843-222-3293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7659 GARNERS FERRY RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292093857",
            "telephone_number": "803-695-6150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCK",
        "first_name": "JENNIFER",
        "middle_name": "CLARK",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-26",
        "last_updated": "2012-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "5642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Lynn Trujillo
• Trulife Holistic and Integrative Wellness LLC
• Truluv Healthcare Services, LLC
• Nevelyn Noblit Trumpeter, PH.D.
• Kylie Truong, MD
• Tinita Tucker-Cain
• Bernice Belinda Tucker, LPC
• Kenya Cammora Tucker
• Klariz Teves Tucker, MD
• Lakendra Charisse Tucker

• Physical Therapist in Columbia, SC
• Providers in Columbia, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; 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.