Active NPI
Jenna Stoner, DPT, PT
- Physical Therapist
- Charleston, SC
National Provider Identifier
1871107789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT.10382
- Practice address
- 445 Savannah Hwy
Charleston, SC 29407-7207 - Phone
- (843) 766-2121
- NPI assigned
- Sep 8, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | PT.10382 | SC | Primary |
Addresses
Primary practice location
445 Savannah Hwy
Charleston, SC 29407-7207
Mailing address
432 Pine Valley Dr
Bowling Green, OH 43402-5201
Phone (419) 601-3212
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, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
445 Savannah Hwy
Charleston, SC 29407-7207
Phone (843) 766-2121
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10382 | SC | MD | Family Medicine Physician |
| PT.10382 | SC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Private Therapy Services LLC | Single Specialty | Current | Accepting new patients |
Locations
445 Savannah Hwy
Charleston, SC 29407
Phone (843) 766-2121
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599523200000",
"number": "1871107789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "432 PINE VALLEY DR",
"city": "BOWLING GREEN",
"state": "OH",
"postal_code": "434025201",
"telephone_number": "419-601-3212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 SAVANNAH HWY",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294077207",
"telephone_number": "843-766-2121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STONER",
"first_name": "JENNA",
"credential": "DPT, PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-08",
"last_updated": "2020-09-08",
"certification_date": "2020-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "SC",
"license": "PT.10382",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; 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.