Active NPI
Jamie Hawkins Johnsman, PTA
- Physical Therapy Assistant
- Greenville, SC
National Provider Identifier
1457451171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 1602
- Practice address
- 850 E Butler Rd
Greenville, SC 29607-5842 - Phone
- (864) 527-9453
- NPI assigned
- Sep 23, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 Therapy Assistant | 225200000X | 1602 | SC | Primary |
Addresses
Primary practice location
850 E Butler Rd
Greenville, SC 29607-5842
Mailing address
107 Clancy CT
Simpsonville, SC 29681-1901
Phone (864) 630-7017
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 |
|---|---|---|---|
| 1602 | SC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203984000000",
"number": "1457451171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 CLANCY CT",
"city": "SIMPSONVILLE",
"state": "SC",
"postal_code": "296811901",
"telephone_number": "864-630-7017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 E BUTLER RD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296075842",
"telephone_number": "864-527-9453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSMAN",
"first_name": "JAMIE",
"middle_name": "HAWKINS",
"name_prefix": "Ms.",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-23",
"last_updated": "2008-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "SC",
"license": "1602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
- John R White DDS & Christopher N Siachos (Cleveland Street Family Dentistry)
- John R White DDS and Christopher N Siachos DMD PA
- John R. Fuzia, DMD, PA
- Lauren Johns, RBT
- Thomas Chet Johns, MD
- Amanda Johnson-Latham, LISW-CP
- Lisa Marie Johnson-Losinski, NP
- T. Jeanette Johnson-Watts, LMSW
- Abigail Diane Johnson, CNM, APRN
- Angie Johnson
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.