Individual provider Active NPI

Jennifer Finch Agema, PTA

  • Physical Therapy Assistant
  • Saint Stephen, SC
National Provider Identifier
1437629946
Registry record updated Nov 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2985 Issued in SC
Practice address
1038 McGill LN
Saint Stephen, SC 29479-3196
Phone
(843) 567-2307
NPI assigned
Nov 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2985 SC Primary

Addresses

Primary practice location

1038 McGill LN
Saint Stephen, SC 29479-3196

Mailing address

122 Gibson St
Moncks Corner, SC 29461-3819
Phone (843) 567-2307

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

NPI Registry JSON

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

{
    "created_epoch": "1543276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543276800000",
    "number": "1437629946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 GIBSON ST",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294613819",
            "telephone_number": "843-567-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1038 MCGILL LN",
            "city": "SAINT STEPHEN",
            "state": "SC",
            "postal_code": "294793196",
            "telephone_number": "843-567-2307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGEMA",
        "first_name": "JENNIFER",
        "middle_name": "FINCH",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-27",
        "last_updated": "2018-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "SC",
            "license": "2985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Stephen, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; 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.