Jacob Cagney Amerson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

7742 Issued in SC

Practice address

501 Forest LN
Suite a
Clemson, SC 29631-2621

Phone

(864) 654-2001

Fax

(800) 305-7112

NPI assigned

Jun 10, 2015

Last updated

Jul 27, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

PT Solutions of Acworth LLCGroup PAC ID 0042291817, 17 clinicians

Excel Rehabilitation and SportsGroup PAC ID 1759481559, 53 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Excel Rehabilitation and Sports

  dba Excel Rehabilitation and Sports Enhancement LLC

  • Physical Therapist
  • Clemson, SC
  • NPI 1740358324
  Medicare reassignment Care Compare group NPD
• PT Solutions of Acworth LLC

  • Physical Therapist
  • Greenville, SC
  • NPI 1396379723
  Medicare reassignment Care Compare group NPD
• Excel Rehabilitation and Sports

  dba Accelerated Physical Therapy

  • Physical Therapist
  • Greenville, SC
  • NPI 1952272379
  NPD
• PT Solutions of Acworth LLC

  • Physical Therapist
  • North Augusta, SC
  • NPI 1831643394
  NPD
• PT Solutions of Acworth LLC

  • Physical Therapist
  • Augusta, GA
  • NPI 1518435189
  NPD

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

{
    "created_epoch": "1433894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469577600000",
    "number": "1659752186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 FOREST LN",
            "address_2": "SUITE A",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296312621",
            "telephone_number": "864-654-2001",
            "fax_number": "800-305-7112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 FOREST LN",
            "address_2": "SUITE A",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296312621",
            "telephone_number": "864-654-2001",
            "fax_number": "800-305-7112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMERSON",
        "first_name": "JACOB",
        "middle_name": "CAGNEY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-10",
        "last_updated": "2016-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "7742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Akpobiyeri, M.A.
• Brandon John Albin
• Jonathan Michael Alexander, PT
• Sarah McCormick Allen, M.ED., LPC
• Katherine Lee Ambrose
• Anchor of Hope Counseling of Clemson, PA
• Anderson Diagnostic Imaging, Inc (Clemson Imaging)
• Carrie S Anderson
• Channing Nathaniel Anderson, LPC
• Angela Hebert Hayden NP (Foothills Nurse Practitioner)

• Physical Therapist in Clemson, SC
• Providers in Clemson, 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 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.