Dwayne M Duckett, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1458 Issued in SC

Practice address

1620 Broughton St
Orangeburg, SC 29115-4867

Phone

(803) 534-4050

Fax

(803) 534-0408

NPI assigned

Nov 20, 2009

Last updated

Nov 20, 2009By the provider in NPPES

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

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Duckett Physical Therapy & Sports Rehab Center

  • Specialist
  • Orangeburg, SC
  • NPI 1720176241
  NPD Authorized official

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

{
    "created_epoch": "1258675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258675200000",
    "number": "1366770968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 BROUGHTON ST",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "29115",
            "telephone_number": "803-534-4050",
            "fax_number": "803-534-0408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 BROUGHTON ST",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291154867",
            "telephone_number": "803-534-4050",
            "fax_number": "803-534-0408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCKETT",
        "first_name": "DWAYNE",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-20",
        "last_updated": "2009-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "1458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. Spencer C Disher
• Benjamin J. Droisen, MD
• DRS Williamson & Gillespie PA
• DRS. Williamson & Gillespie, PA
• Duckett Physical Therapy & Sports Rehab Center
• Tracey Duke, MSW
• Laura Dukes, PT
• Shanel R Dunkin
• Dunlap Chiropractic
• Dunlap Chiropractic

• Physical Therapist in Orangeburg, SC
• Providers in Orangeburg, 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 Nov 20, 2009; 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.