Active NPI
Quinndolyn McInnis, DPT
- Geriatric Physical Therapist
- Rock Hill, SC
National Provider Identifier
1396069167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- 5793
- Practice address
- 159 Sedgewood Dr
Rock Hill, SC 29732-2315 - Phone
- (803) 329-6565
- NPI assigned
- Mar 22, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | 5793 | SC | Primary |
Addresses
Primary practice location
159 Sedgewood Dr
Rock Hill, SC 29732-2315
Mailing address
16716 Prairie Falcon LN
Charlotte, NC 28278-8766
Phone (843) 729-2819
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5793 | SC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269216000000",
"number": "1396069167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16716 PRAIRIE FALCON LN",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282788766",
"telephone_number": "843-729-2819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "159 SEDGEWOOD DR",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297322315",
"telephone_number": "803-329-6565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCINNIS",
"first_name": "QUINNDOLYN",
"name_prefix": "Ms.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-22",
"last_updated": "2010-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "SC",
"license": "5793",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rock Hill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.