Thomas John Chestnut, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9545 Issued in SC

Practice address

148 Foothills Center Dr Ste 148
West Union, SC 29696-2518

Phone

(864) 638-6405

Fax

(864) 638-6421

NPI assigned

Dec 16, 2013

Last updated

Oct 13, 2020By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Rockford Psychiatric Medical Services, S.C.

  • Psychiatry Physician
  • Rockford, IL
  • NPI 1821391442
  NPD

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

{
    "created_epoch": "1387152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1528489671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 FOOTHILLS CENTER DR STE 148",
            "city": "WEST UNION",
            "state": "SC",
            "postal_code": "296962518",
            "telephone_number": "864-638-6405",
            "fax_number": "864-638-6421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 FOOTHILLS CENTER DR STE 148",
            "city": "WEST UNION",
            "state": "SC",
            "postal_code": "296962518",
            "telephone_number": "864-638-6405",
            "fax_number": "864-638-6421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHESTNUT",
        "first_name": "THOMAS",
        "middle_name": "JOHN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-12-16",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.020364",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "9545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward H. Booker Jr., M.D.
• Thomas Otis Bowen Jr., DDS
• Sally S Boyles, RPH
• C Fred Marcinak DMD PA
• Carolina Oaks Oconee, LLC
• Cobb Chiropractic Inc.
• Kaitlyn Yvonne Kluge Dale, PT,DPT
• Marie Alana Davis, LMT
• Family Dental Health of Golden Corner LLC
• Foothills Assisted Living, LLC

• Physical Therapist in West Union, SC
• Providers in West Union, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.