Active NPI
Roy L Dunlap Jr., PT
- Physical Therapist
- Columbia, SC
National Provider Identifier
1356377444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1191
- Practice address
- 1612 Marion St
Suite 113
Columbia, SC 29201-2939 - Phone
- (803) 253-6721
- NPI assigned
- Jun 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1191 | SC | Primary |
Addresses
Primary practice location
1612 Marion St
Suite 113
Columbia, SC 29201-2939
Mailing address
1612 Marion St
Suite 113
Columbia, SC 29201-2939
Phone (803) 253-6721
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1191 | SC | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346284800000",
"number": "1356377444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1612 MARION ST",
"address_2": "SUITE 113",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292012939",
"telephone_number": "803-253-6721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1612 MARION ST",
"address_2": "SUITE 113",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292012939",
"telephone_number": "803-253-6721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNLAP",
"first_name": "ROY",
"middle_name": "L",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2012-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "1191",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.