Active NPI
Jonathan McKey Holleman, PT, DPT
- Physical Therapist
- Johns Island, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1013
- Practice address
- 1797 Main Rd
Johns Island, SC 29455-3447 - Phone
- (843) 559-7889
- Fax
- (843) 559-2355
- NPI assigned
- Mar 13, 2020
- 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 | 1013 | SC | Primary |
Addresses
Primary practice location
1797 Main Rd
Johns Island, SC 29455-3447
Mailing address
4600 Goer Dr Ste 210
North Charleston, SC 29406-6536
Phone (843) 744-5527
Other practice location 1
1245 Savannah Hwy
Charleston, SC 29407-7826
Phone (843) 766-5595
Other practice location 2
90 Spingview Lane Suite B
Summerville, SC 29485-2948
Phone (843) 875-2959
Other practice location 3
4600 Goer Dr Ste 210
North Charleston, SC 29406-6536
Phone (843) 744-5527
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9189 | Other | SC | PALMETTO GBA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | NorthCharleston | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1013 | SC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Island P.T.,LLC | Physical Therapist | Current | Accepting new patients |
| Carolina Orthopaedic and Neurosurgical Associates | Current | Accepting new patients | |
| Carolina Orthopaedic and Neurosurgical Associates | Current | Accepting new patients |
Locations
1245 Savannah Hwy
Charleston, SC 29407
Phone (843) 766-5595
220 Roper Mountain Road Ext
Greenville, SC 29615
Phone (864) 242-1163
1797 Main Rd
Johns Island, SC 29455
Phone (843) 559-5455
4600 Goer Dr
Ste 210
North Charleston, SC 29406
Phone (843) 744-5527
1330 Boiling Springs Rd
Ste 1600
Spartanburg, SC 29303
Phone (864) 582-6396
90 Springview Ln
#B
Summerville, SC 29485
Phone (843) 439-5311
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Spartanburg, SC
- NPI 1568454056
-
- Physical Therapist
- Charleston, SC
- NPI 1942454145
-
- Orthopaedic Surgery Physician
- Columbus, NC
- NPI 1083309074
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593475200000",
"number": "1841826575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 GOER DR STE 210",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294066536",
"telephone_number": "843-744-5527",
"fax_number": "843-746-9246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1797 MAIN RD",
"city": "JOHNS ISLAND",
"state": "SC",
"postal_code": "294553447",
"telephone_number": "843-559-7889",
"fax_number": "843-559-2355"
}
],
"practiceLocations": [
{
"address_1": "1245 Savannah Hwy",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "SC",
"postal_code": "294077826",
"country_code": "US",
"telephone_number": "843-766-5595",
"fax_number": "843-766-5352",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "90 Spingview Lane Suite B",
"address_purpose": "LOCATION",
"city": "Summerville",
"state": "SC",
"postal_code": "294852948",
"country_code": "US",
"telephone_number": "843-875-2959",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4600 Goer Dr Ste 210",
"address_purpose": "LOCATION",
"city": "North Charleston",
"state": "SC",
"postal_code": "294066536",
"country_code": "US",
"telephone_number": "843-744-5527",
"fax_number": "843-746-9246",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLLEMAN",
"first_name": "JONATHAN",
"middle_name": "MCKEY",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-13",
"last_updated": "2020-06-30",
"certification_date": "2020-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "1013",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA",
"identifier": "9189",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "NorthCharleston",
"affiliation": "N",
"endpointDescription": "MainOffice",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "North Charleston",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "North Charlesto",
"address_1": "4600 Goer Dr Ste 210",
"city": "North Charleston",
"state": "SC",
"country_code": "US",
"postal_code": "294066536",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Johns Island, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.