Jerry Scott Oreilly, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1180 Issued in SC

Practice address

100 Dreher Rd
Suite 100
West Columbia, SC 29169

Phone

(803) 525-8070

NPI assigned

Jul 23, 2020

Last updated

Jul 23, 2020By the provider in NPPES

Sex

Male

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

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

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1457960726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "573 PLYMOUTH PASS DR",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290727028",
            "telephone_number": "803-960-7581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DREHER RD",
            "address_2": "SUITE 100",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "29169",
            "telephone_number": "803-525-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OREILLY",
        "first_name": "JERRY",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-23",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "SC",
            "license": "1180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly June Oliger, APRN
• Celena Hilliard Oliver, PHARMD
• Amelyn Navarro Olson, DRPH, BSN, RN, CHES
• Andrea Lee Fry Olson, AG-ACNP, BC
• James Emil Orban III, PHARMD
• Gina Holland Ormond, DMD
• Robert John Ornelas, MD
• Stephen W Orville, M.D.
• Michael Orvin
• Annaka Osborne

• Physical Therapy Assistant in West Columbia, SC
• Providers in West Columbia, 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 Jul 23, 2020; 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.