Individual provider Active NPI

Joshua P Sansbury, ATC

  • Athletic Trainer
  • Mount Pleasant, SC
National Provider Identifier
1659158293
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
2741 Issued in SC
Practice address
757 Long Point Rd Ste C
Mount Pleasant, SC 29464-8328
Phone
(843) 897-6745
NPI assigned
Sep 8, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 2741 SC Primary

Addresses

Primary practice location

757 Long Point Rd Ste C
Mount Pleasant, SC 29464-8328

Mailing address

757 Long Point Rd Ste C
Mount Pleasant, SC 29464-8328
Phone (843) 897-6745

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
2741SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Revive Chiropractic CurrentSince Sep 10, 2023 Accepting new patients

Locations

757 Long Point Rd
Ste C
Mt Pleasant, SC 29464
Phone (843) 352-9966

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.

NPI Registry JSON

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

{
    "created_epoch": "1694131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1659158293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 LONG POINT RD STE C",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294648328",
            "telephone_number": "843-897-6745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 LONG POINT RD STE C",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294648328",
            "telephone_number": "843-897-6745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANSBURY",
        "first_name": "JOSHUA",
        "middle_name": "P",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-08",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "SC",
            "license": "2741",
            "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 Sep 8, 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.

Verify at the official NPI Registry.