Active NPI
Jacqueline Danielle Boyter, DPT
- Physical Therapist
- Anderson, SC
National Provider Identifier
1407296353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7042
- Practice address
- 1501 E Greenville St
Anderson, SC 29621-2004 - Phone
- (864) 993-6222
- NPI assigned
- Jun 25, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | |||
| Physical Therapist | 225100000X | 7042 | SC | Primary |
Addresses
Primary practice location
1501 E Greenville St
Anderson, SC 29621-2004
Mailing address
1501 E Greenville St
Anderson, SC 29621-2004
Phone (864) 226-8356
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 |
|---|---|---|---|
| 7042 | SC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701734400000",
"number": "1407296353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 E GREENVILLE ST",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296212004",
"telephone_number": "864-226-8356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 E GREENVILLE ST",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296212004",
"telephone_number": "864-993-6222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYTER",
"first_name": "JACQUELINE",
"middle_name": "DANIELLE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-25",
"last_updated": "2023-12-05",
"certification_date": "2023-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "7042",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anderson, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.