Geoffrey Vickers, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

AT5834 Issued in CA

Practice address

1002 N Woodland Dr
Lancaster, SC 29720-1966

Phone

(803) 324-3745

NPI assigned

Apr 26, 2012

Last updated

Apr 26, 2012By 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 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335398400000",
    "number": "1518225606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 N WOODLAND DR",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297201966",
            "telephone_number": "803-324-3745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 N WOODLAND DR",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297201966",
            "telephone_number": "803-324-3745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICKERS",
        "first_name": "GEOFFREY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-26",
        "last_updated": "2012-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "SC",
            "license": "2234",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "3977",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "AT5834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christin Lee Van Hoy, PA-C
• Vanessa Vasconez, RCIS
• Janice P Vaughn, BS,NCACII
• Nikhila Velivela, M.D
• Nicole Ventour, LCSW, LISW-CP/S
• Vital Steps Chiropractic LLC
• Tirth Hareshkumar Vyas
• Charles Foster Wade, DMD
• Brett D Wagner, D.O.
• Jonique Richelle Waiters, ADC

• Physical Therapy Assistant in Lancaster, SC
• Providers in Lancaster, 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 Apr 26, 2012; 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.