Active NPI
Paul Michael John, PT, MS, ATC
- Orthopedic Physical Therapist
- Florence, SC
National Provider Identifier
1740487339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 4311
- Practice address
- 315 N Beltline Dr Ste D
Florence, SC 29501-7420 - Phone
- (843) 407-7010
- Fax
- (843) 407-7814
- NPI assigned
- Jun 28, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physical Therapist | 2251S0007X | 4311 | SC | |
| Orthopedic Physical Therapist | 2251X0800X | 4311 | SC | Primary |
| Athletic Trainer | 2255A2300X | 496 | SC |
Addresses
Primary practice location
315 N Beltline Dr Ste D
Florence, SC 29501-7420
Mailing address
315 N Beltline Dr Ste D
Florence, SC 29501-7420
Phone (843) 407-7010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2811 W Palmetto St
Suite D
Florence, SC 29501-5931
Phone (843) 407-7010
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4311 | SC | MD | Speech-Language Pathologist |
| 496 | SC | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Profection Therapy LLC | Current | Accepting new patients |
Locations
2811 W Palmetto St
Ste D
Florence, SC 29501
Phone (843) 407-7010
315 N Beltline Dr
Ste D
Florence, SC 29501
Phone (843) 407-7010
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 Therapy Clinic/Center
- Florence, SC
- NPI 1750743506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463529600000",
"number": "1740487339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 N BELTLINE DR STE D",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295017420",
"telephone_number": "843-407-7010",
"fax_number": "843-407-7814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 N BELTLINE DR STE D",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295017420",
"telephone_number": "843-407-7010",
"fax_number": "843-407-7814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHN",
"first_name": "PAUL",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "PT, MS, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-28",
"last_updated": "2016-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "SC",
"license": "4311",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "SC",
"license": "4311",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "SC",
"license": "496",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Florence, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.