Active NPI
Donald Niedringhaus
- Physical Therapist
- Rock Hill, SC
National Provider Identifier
1437510955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 858
- Practice address
- 1317 Ebenezer Rd
Rock Hill, SC 29732-2336 - Phone
- (803) 207-8177
- NPI assigned
- Mar 10, 2016
- 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 | 858 | SC | Primary |
Addresses
Primary practice location
1317 Ebenezer Rd
Rock Hill, SC 29732-2336
Mailing address
1624 Main Street
Columbia, SC 29201
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 |
|---|---|---|---|
| 858 | SC | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Revo Rehab, Inc | Physical Therapist | Current | Accepting new patients |
Locations
727 Dilworth Ln
Ste 202
Rock Hill, SC 29732
Phone (803) 327-8655
1317 Ebenezer Rd
Rock Hill, SC 29732
Phone (803) 207-8177
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471651200000",
"number": "1437510955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1624 MAIN STREET",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1317 EBENEZER RD",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297322336",
"telephone_number": "803-207-8177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIEDRINGHAUS",
"first_name": "DONALD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-10",
"last_updated": "2016-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "858",
"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 Aug 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.