Active NPI
Winninah Camania Calderon, PT
- Physical Therapist
- Bennettsville, SC
National Provider Identifier
1548299209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4939
- Practice address
- 1021 Cheraw St
Bennettsville, SC 29512 - Phone
- (843) 454-9000
- Fax
- (843) 454-9001
- NPI assigned
- Jul 2, 2006
- Last updated
- Oct 10, 2007
- 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 | 4939 | SC | Primary |
Addresses
Primary practice location
1021 Cheraw St
Bennettsville, SC 29512
Mailing address
1021 Cheraw St
Bennettsville, SC 29512
Phone (843) 454-9000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TH1693 | Medicaid | SC |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4939 | SC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palmetto Wellness & Injury Center of Bennettsville LLC | Past | Accepting new patients | |
| Leah Hamoy LLC | Physical Therapist | Past | Accepting new patients |
| Marlboro Physical Therapy | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Physical Therapist
- Bennettsville, SC
- NPI 1457380123
-
- Family Medicine Physician
- Bennettsville, SC
- NPI 1124240999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191974400000",
"number": "1548299209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 CHERAW ST",
"city": "BENNETTSVILLE",
"state": "SC",
"postal_code": "29512",
"telephone_number": "843-454-9000",
"fax_number": "843-454-9001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 CHERAW ST",
"city": "BENNETTSVILLE",
"state": "SC",
"postal_code": "29512",
"telephone_number": "843-454-9000",
"fax_number": "843-454-9001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALDERON",
"first_name": "WINNINAH",
"middle_name": "CAMANIA",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-02",
"last_updated": "2007-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "4939",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "TH1693",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bennettsville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.