Jennifer Matthews Medlin, P.T.
Individual provider Active NPI Physical Therapist · Bamberg, SC
NPI 1467615468 · NPPES record last updated Jul 9, 2008
Key facts
- NPI
- 1467615468
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2612 (SC)
- Practice address
- 119 Bay St
Bamberg, SC 29003-1445 - Phone
- (803) 245-9327
- NPI assigned
- Jul 9, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2612 | SC | MD | Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2612 | SC | Yes |
Addresses
Primary practice location
119 Bay St
Bamberg, SC 29003-1445
Mailing address
119 Bay St
Bamberg, SC 29003-1445
Phone (803) 245-9327
Other providers in Bamberg, SC
- Danette F McAlhaney
- John McBride
- Jan G. McCormack
- Allison McGee
- Crystal Marie McGuire
- Anthony Samuel Mennito
- Michael Watson Rural Health Clinic
- Musc Community Physicians
- Musc Community Physicians
- Musc Community Physicians
All providers in Bamberg, SC · Physical Therapist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.