Jared Wichers, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9428 Issued in SC

Practice address

712 N a St
Easley, SC 29640-2142

Phone

(864) 859-4938

Fax

(864) 859-3345

NPI assigned

Oct 9, 2015

Last updated

Dec 11, 2024By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Matrix Rehabilitation South Carolina, Inc.

  dba Select Physical Therapy

  • Rehabilitation Clinic/Center
  • Easley, SC
  • NPI 1881610988
  NPD (past)
• Matrix Rehabilitation-South Carolina, Inc.

  dba Select Physical Therapy

  • Rehabilitation Clinic/Center
  • Rock Hill, SC
  • NPI 1093731176

  Physical Therapist

  NPD (past)
• Therapy One Rehabilitation Center, Inc.

  dba Therapy One Rehabilitation, Health & Fitness Center, Inc.

  • Physical Therapy Clinic/Center
  • Panama City, FL
  • NPI 1386647683

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1444348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1861863318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 N A ST",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296402142",
            "telephone_number": "864-859-4938",
            "fax_number": "864-859-3345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 N A ST",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296402142",
            "telephone_number": "864-859-4938",
            "fax_number": "864-859-3345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICHERS",
        "first_name": "JARED",
        "name_prefix": "Dr.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-09",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 30731",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "9428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Willard Chandler White, DPT
• Norman Whiteley
• Dorothy R Whitner
• Brandon Walker Whitworth
• Hunter James Whitworth
• Luke Samuel Wigdahl
• Ronnie Wigfall
• Kimberly Yvonne Wiggins, PHARMD
• Janelle K Wilder, OTR/L
• Janice P Wiles, LPN

• Physical Therapist in Easley, SC
• Providers in Easley, 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 Dec 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.