Active NPI
Jasmine Callaham
- Physical Therapist
- McCormick, SC
National Provider Identifier
1871284364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11537
- Practice address
- 578 Airport Rd
MC Cormick, SC 29835-7534 - Phone
- (864) 602-0128
- NPI assigned
- May 16, 2023
- Last updated
- May 16, 2023
- Sex
- Female
- 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 | 11537 | SC | Primary |
Addresses
Primary practice location
578 Airport Rd
MC Cormick, SC 29835-7534
Mailing address
578 Airport Rd
MC Cormick, SC 29835-7534
Phone (864) 602-0128
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11537 | SC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684195200000",
"number": "1871284364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "578 AIRPORT RD",
"city": "MC CORMICK",
"state": "SC",
"postal_code": "298357534",
"telephone_number": "864-602-0128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "578 AIRPORT RD",
"city": "MC CORMICK",
"state": "SC",
"postal_code": "298357534",
"telephone_number": "864-602-0128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALLAHAM",
"first_name": "JASMINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-16",
"last_updated": "2023-05-16",
"certification_date": "2023-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "11537",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McCormick, SC
- Teia Avery
- Tasha Baker, BCBA
- Pearl Blair-Aiken
- Ikeiya Marie Blakely
- Stephanie Brooks
- Carolina Health Centers (Carolina Dental Practice)
- Carolina Health Centers, Inc. (McCormick Family Practice)
- Carolina Health Centers, Inc. (McCormick Elementary School Health Clinic)
- Angela D Christopher, MS
- Bernice Daugherty, MSN, APRN, BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.