Tonja Fitzpatrick

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

4469 Issued in SC

Practice address

4438 Pamplico Hwy
Florence, SC 29505-8502

Phone

(843) 669-3502

NPI assigned

Oct 23, 2020

Last updated

Oct 23, 2020By the provider in NPPES

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1603411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603411200000",
    "number": "1396344966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5640 LONGVIEW RD",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291541040",
            "telephone_number": "803-720-8142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4438 PAMPLICO HWY",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295058502",
            "telephone_number": "843-669-3502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZPATRICK",
        "first_name": "TONJA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-23",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "SC",
            "license": "4469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Fink, DPM
• Krysta Webster Fink, PH.D.
• Kitty F. Finklea, RD
• First Excellence LLC
• First Vision Group,LLC
• Lakisha Danielle Fladger
• Carmen Nicole Fleming, M.S., LPC
• Jonetha Monique Fleming, PHARM.D.
• Monty M Fleming
• Florence Brace & Limb Inc

• Physical Therapy Assistant in Florence, SC
• Providers in Florence, 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 Oct 23, 2020; 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.