Active NPI
Jill King
- Massage Therapist
- Mount Pleasant, SC
National Provider Identifier
1609589142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- 1113 Bowman Rd Ste 100
Mount Pleasant, SC 29464-3220 - Phone
- (843) 225-0774
- NPI assigned
- Dec 29, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | SC | Primary |
Addresses
Primary practice location
1113 Bowman Rd Ste 100
Mount Pleasant, SC 29464-3220
Mailing address
1113 Bowman Rd Ste 100
Mount Pleasant, SC 29464-3220
Phone (843) 225-0774
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Personal Performance | Current | Accepting new patients |
Locations
1113 Bowman Rd
Ste 100
Mt Pleasant, SC 29464
Phone (843) 225-0774
Organizations & group practices 1
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.
-
- Physical Therapist
- Mount Pleasant, SC
- NPI 1366024556
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672272000000",
"number": "1609589142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1113 BOWMAN RD STE 100",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294643220",
"telephone_number": "843-225-0774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1113 BOWMAN RD STE 100",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294643220",
"telephone_number": "843-225-0774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "JILL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-12-29",
"last_updated": "2022-12-29",
"certification_date": "2022-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "SC",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.