Active NPI
Jeannine M Clearman, LMT
- Massage Therapist
- Goose Creek, SC
National Provider Identifier
1619671013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 8400
- Practice address
- 300 Commons Way
Goose Creek, SC 29445-5444 - Phone
- (843) 729-0097
- NPI assigned
- Mar 29, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | 8400 | SC | Primary |
Addresses
Primary practice location
300 Commons Way
Goose Creek, SC 29445-5444
Mailing address
300 Commons Way
Goose Creek, SC 29445-5444
Phone (843) 729-0097
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8400 | SC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680048000000",
"number": "1619671013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 COMMONS WAY",
"city": "GOOSE CREEK",
"state": "SC",
"postal_code": "294455444",
"telephone_number": "843-729-0097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 COMMONS WAY",
"city": "GOOSE CREEK",
"state": "SC",
"postal_code": "294455444",
"telephone_number": "843-729-0097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEARMAN",
"first_name": "JEANNINE",
"middle_name": "M",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-29",
"last_updated": "2023-03-29",
"certification_date": "2023-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "SC",
"license": "8400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goose Creek, SC
- Matthew Christie, D.D.S.
- Chih Tien Chuang, PHARM.D.
- Brian Ciaccia, PT, DPT
- City of Goose Creek
- Claire Brooke Sleep Center LLC
- Clemson Sports Medicine and Rehabilitation, Inc (Goose Creek Physical Therapy)
- Tanner Cline
- Coastal Internal Medicine & Geriatrics LLC
- Coastal Therapy Services, Inc.
- Coastal Vision Care LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.