Midlands Physical Therapy and Wellness LLC.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

MIDLANDS PHYSICAL THERAPY AND WELLNESS LLC.

Practice address

115 Pettus LN
Newberry, SC 29108-7719

Phone

(803) 924-3581

Fax

(803) 276-9495

NPI assigned

Aug 10, 2020

Organization subpart

No

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

Authorized official

Name

Jeremy Wayne Nichols, PT, DPTNPI 1861510372

Title

Physical Therapist

Phone

(803) 924-3581

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeremy Nichols, MS

  • Orthopedic Physical Therapist
  • Newberry, SC
  • NPI 1861510372
  NPD Authorized official

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

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597017600000",
    "number": "1457961963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 PETTUS LN",
            "city": "NEWBERRY",
            "state": "SC",
            "postal_code": "291087719",
            "telephone_number": "803-924-3581",
            "fax_number": "803-276-9495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 PETTUS LN",
            "city": "NEWBERRY",
            "state": "SC",
            "postal_code": "291087719",
            "telephone_number": "803-924-3581",
            "fax_number": "803-276-9495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDLANDS PHYSICAL THERAPY AND WELLNESS LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-10",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "803-924-3581",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medical Park Dentistry
• Jordan Charles Meyers, PHARMD
• Michael J White MD, LLC
• Midland Family Medicine
• Midlands Chiropractic
• Katrina J. Minick, R.N.
• Leslie Minick
• Cara Morris, SLT
• Jami Dawson Morris, LM
• Jonelle Morrison IX

• Physical Therapy Clinic/Center in Newberry, SC
• Providers in Newberry, SC by specialty
• Physical Therapy Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.