Individual provider Active NPI

Carol Reynolds Brown, PTA

  • Physical Therapy Assistant
  • Columbia, SC
National Provider Identifier
1609079391
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
1344 Issued in SC
Practice address
7601 Parklane Rd
Columbia, SC 29223-6122
Phone
(803) 741-9090
Fax
(803) 741-1914
NPI assigned
Jun 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 1344 SC Primary

Addresses

Primary practice location

7601 Parklane Rd
Columbia, SC 29223-6122

Mailing address

100 Bostwick RDG
Columbia, SC 29229-8922
Phone (803) 865-6298

Other names 1

  • Miss Carol Lee Reynolds Former name

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

LicenseStateTypeSpecialty
1344SCMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
NHC Healthcare-Parklane LLC Past Accepting new patients
Accelecare Wound Professionals of South Carolina, PC Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609079391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BOSTWICK RDG",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292298922",
            "telephone_number": "803-865-6298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 PARKLANE RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292236122",
            "telephone_number": "803-741-9090",
            "fax_number": "803-741-1914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CAROL",
        "middle_name": "REYNOLDS",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "SC",
            "license": "1344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "REYNOLDS",
            "middle_name": "LEE",
            "prefix": "MISS",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.