Gail Marie Detjen, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10571 Issued in SC

Practice address

912 Inlet Square Dr
Murrells Inlet, SC 29576-7812

Phone

(843) 350-6150

Fax

(843) 823-7309

NPI assigned

Apr 1, 2008

Last updated

Jul 6, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Palmetto Primary Care Physicians, LLC

  dba Palmetto Advanced Therapy Services

  • Physical Therapy Clinic/Center
  • North Charleston, SC
  • NPI 1700354164
  NPD (past)
• Palmetto Primary Care Physicians, LLC

  • Audiologist
  • Ladson, SC
  • NPI 1982175451
  NPD (past)
• Blankenheim Occupational Therapy

  • Occupational Therapist
  • Rochester, NY
  • NPI 1588981054
  NPD (past)
• Blankenheim Services, LLC

  • Occupational Therapist
  • Appleton, WI
  • NPI 1992977862

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1659543460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 530062",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303530062",
            "telephone_number": "843-695-6071",
            "fax_number": "843-569-5879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 INLET SQUARE DR",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295767812",
            "telephone_number": "843-350-6150",
            "fax_number": "843-823-7309"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7611 Saint Andrews Rd",
            "address_purpose": "LOCATION",
            "city": "Irmo",
            "state": "SC",
            "postal_code": "290632834",
            "country_code": "US",
            "telephone_number": "803-274-6099",
            "fax_number": "803-302-4020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2500 Elms Center Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "N Charleston",
            "state": "SC",
            "postal_code": "294069844",
            "country_code": "US",
            "telephone_number": "843-203-5051",
            "fax_number": "843-806-2941",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4340 Ladson Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Ladson",
            "state": "SC",
            "postal_code": "294566444",
            "country_code": "US",
            "telephone_number": "843-376-5056",
            "fax_number": "843-376-2730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DETJEN",
        "first_name": "GAIL",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-01",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "9964-024",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "10571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TH4541",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Dennehy-Jennings, M.S., P.T.
• Dental Professional of South Carolina, P.C.
• Dental Professional of South Carolina, P.C. (Prince Creek Dental Care)
• Dermatology Associates of Waccamaw LLC
• Sloan Derrick
• Allison Devaux, FNP
• Jared A Devita, PT, DPT
• Diabetes Center LLC
• Michele J Diamond, M.ED.,M.S./CAS, LPES
• Elizabeth Dixon

• Physical Therapist in Murrells Inlet, SC
• Providers in Murrells Inlet, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; 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.