Jeremy D Neal, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2639 Issued in SC

Practice address

107 N 8TH St
Hartsville, SC 29550-4105

Phone

(843) 857-4343

Fax

(843) 857-4345

NPI assigned

Dec 12, 2012

Sex

Male

Sole proprietor

No

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)

Not 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.

• Hartsville Physical Therapy & Rehabilitation Center LLC.

  • Physical Therapist
  • Hartsville, SC
  • NPI 1427087113
  NPD (past)

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

{
    "created_epoch": "1355270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355270400000",
    "number": "1346586724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 N 8TH ST",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295504105",
            "telephone_number": "843-857-4343",
            "fax_number": "843-857-4345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 N 8TH ST",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295504105",
            "telephone_number": "843-857-4343",
            "fax_number": "843-857-4345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAL",
        "first_name": "JEREMY",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-12",
        "last_updated": "2012-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "SC",
            "license": "2639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Delean Morris, D.C.
• Moyd Surgical Services
• Moyd Surgical Services
• Lee Fore Moyd
• Vyman Mungo
• Patricia Nelson
• Jennifer Reid Nesseth, ATC
• Roy Dale Newman II, PHARM D
• Theodore W Newman, O.D.
• Linda Charlene Newsom King, BS IN PHARMACY

• Physical Therapy Assistant in Hartsville, SC
• Providers in Hartsville, SC by specialty
• Physical Therapy Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.