Active NPI
Timothy Brandt O'Neal, PT, DPT
- Physical Therapist
- Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6392
- Practice address
- 1825 Laurel St
Columbia, SC 29201-2626 - Phone
- (803) 949-5525
- Fax
- (803) 454-9459
- NPI assigned
- Feb 11, 2013
- Last updated
- Nov 5, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6392 | SC | Primary |
Addresses
Primary practice location
1825 Laurel St
Columbia, SC 29201-2626
Mailing address
1105 12TH St
Cayce, SC 29033-3304
Phone (803) 973-0100
Other practice location 1
1105 12th St
Cayce, SC 29033-3304
Phone (803) 973-0100
Other practice location 2
10216 Broad River Rd
Irmo, SC 29063-9679
Phone (803) 973-1717
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, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1825 Laurel St
Columbia, SC 29201-2626
Phone (803) 949-5525
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vertex PT Specialists, LLC | Physical Therapist | Current | Accepting new patients |
Locations
1105 12th St
Cayce, SC 29033
Phone (803) 973-0100
1825 Laurel St
Columbia, SC 29201
Phone (803) 851-3506
10216 Broad River Rd
Irmo, SC 29063
Phone (803) 973-1717
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Cayce, SC
- NPI 1265899652
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730764800000",
"number": "1760721732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1105 12TH ST",
"city": "CAYCE",
"state": "SC",
"postal_code": "290333304",
"telephone_number": "803-973-0100",
"fax_number": "803-973-0117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1825 LAUREL ST",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292012626",
"telephone_number": "803-949-5525",
"fax_number": "803-454-9459"
}
],
"practiceLocations": [
{
"address_1": "1105 12th St",
"address_purpose": "LOCATION",
"city": "Cayce",
"state": "SC",
"postal_code": "290333304",
"country_code": "US",
"telephone_number": "803-973-0100",
"fax_number": "803-973-0117",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10216 Broad River Rd",
"address_purpose": "LOCATION",
"city": "Irmo",
"state": "SC",
"postal_code": "290639679",
"country_code": "US",
"telephone_number": "803-973-1717",
"fax_number": "803-462-5804",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "O'NEAL",
"first_name": "TIMOTHY",
"middle_name": "BRANDT",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-02-11",
"last_updated": "2024-11-05",
"certification_date": "2024-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "6392",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.