Brittany Fickling Wellborn, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1454 Issued in SC

Practice address

1185 Wilson Hall Rd
Sumter, SC 29150-1842

Phone

(803) 469-3213

Fax

(803) 469-3233

NPI assigned

Mar 7, 2014

Last updated

Mar 7, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• McLeod Health Clarendon

  dba McLeod Family Medicine-Timmonsville

  • Rural Health Clinic/Center
  • Timmonsville, SC
  • NPI 1003461773
  NPD (past)
• Sumter Physical Therapy Clinic, LLC

  • Physical Therapist
  • Sumter, SC
  • NPI 1194773945
  NPD (past)

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

{
    "created_epoch": "1394150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394150400000",
    "number": "1447676986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1185 WILSON HALL RD",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291501842",
            "telephone_number": "803-469-3213",
            "fax_number": "803-469-3233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1185 WILSON HALL RD",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291501842",
            "telephone_number": "803-469-3213",
            "fax_number": "803-469-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLBORN",
        "first_name": "BRITTANY",
        "middle_name": "FICKLING",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-07",
        "last_updated": "2014-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "SC",
            "license": "1454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin O Weekes, LISW-CP
• Kimberly A Weeks
• Jennifer Weich, FNP-C
• Marianne Carolina Weichselbaumer
• Allan M Weldon, M.D.
• Wellmind Counseling, LLC
• Terrance Wells
• Wescott Enterprises Inc (Praxair Healthcare Services)
• Wesmark Ambulatory Surgery Center
• Wesmark Dental Health Center

• Physical Therapy Assistant in Sumter, SC
• Providers in Sumter, 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 Mar 7, 2014; 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.