Individual provider Active NPI

Timothy Brandt O'Neal, PT, DPT

  • Physical Therapist
  • Columbia, SC
National Provider Identifier
1760721732
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6392 Issued in SC
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20160212002057 SC Practitioner - Physical Therapist in Private Practice 1658675525 Reassigns benefits to 1 organization

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
Vertex PT Specialists LLCGroup PAC ID 1355640285, 18 clinicians

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 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vertex PT Specialists, LLC Physical Therapist CurrentSince Oct 16, 2024 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.

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.

Verify at the official NPI Registry.