Vanessa Jimenez, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

3699 Issued in SC

Practice address

714 S Lake Dr Ste 150
Lexington, SC 29072-3473

Phone

(803) 356-4782

Fax

(803) 996-4782

NPI assigned

Jul 5, 2018

Last updated

Jul 5, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pediatric Therapy of Aiken, LLC

  dba Pediatric Therapy Associates, LLC

  • Occupational Therapist
  • Aiken, SC
  • NPI 1164661609
  NPD (past)
• Pediatric Therapy of Aiken, LLC

  • Durable Medical Equipment & Medical Supplies
  • Aiken, SC
  • NPI 1588002026
  NPD (past)

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

{
    "created_epoch": "1530748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530748800000",
    "number": "1518453372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 TOWN CREEK RD",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298035841",
            "telephone_number": "803-642-0700",
            "fax_number": "803-642-0588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 S LAKE DR STE 150",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290723473",
            "telephone_number": "803-356-4782",
            "fax_number": "803-996-4782"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "181 Town Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Aiken",
            "state": "SC",
            "postal_code": "298035841",
            "country_code": "US",
            "telephone_number": "803-642-0700",
            "fax_number": "803-642-0588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "VANESSA",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-05",
        "last_updated": "2018-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "SC",
            "license": "3699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Benjamin Jett, DMD
• Kevin Benjamin Jett, DMD
• Lightsey Laffitte Jett
• Jill Smith Therapy (Jill Smith and Associates)
• Michael Jimenez, DDS
• Anita Marie Johnson, M.ED.
• Anitra Janay Johnson
• Brittany Johnson
• Charles Johnson
• Christine Johnson, LP:C

• Physical Therapy Assistant in Lexington, SC
• Providers in Lexington, 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 5, 2018; 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.