Active NPI
Cynthia Caughman Vannoy, PT
- Physical Therapist
- Goose Creek, SC
National Provider Identifier
1477527307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5076
- Practice address
- 7 S Alliance Dr
Goose Creek, SC 29445-7269 - Phone
- (843) 569-2303
- Fax
- (843) 569-2304
- NPI assigned
- Feb 15, 2006
- Sex
- Female
- Sole proprietor
- No
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 Therapist | 225100000X | 5076 | SC | Primary |
Addresses
Primary practice location
7 S Alliance Dr
Goose Creek, SC 29445-7269
Mailing address
7 S Alliance Dr
Goose Creek, SC 29445-7269
Phone (843) 569-2303
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 |
|---|---|---|---|
| 5076 | SC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324425600000",
"number": "1477527307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 S ALLIANCE DR",
"city": "GOOSE CREEK",
"state": "SC",
"postal_code": "294457269",
"telephone_number": "843-569-2303",
"fax_number": "843-569-2304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 S ALLIANCE DR",
"city": "GOOSE CREEK",
"state": "SC",
"postal_code": "294457269",
"telephone_number": "843-569-2303",
"fax_number": "843-569-2304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANNOY",
"first_name": "CYNTHIA",
"middle_name": "CAUGHMAN",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-15",
"last_updated": "2011-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "5076",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goose Creek, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.