Individual provider Active NPI

Jill Suzanne Chumley-Jones, PT

  • Geriatric Physical Therapist
  • Mt Pleasant, SC
National Provider Identifier
1891044087
Registry record updated Sep 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
License
4706 Issued in SC
Practice address
3409 Salterbeck CT
Suite 202
Mt Pleasant, SC 29466-7117
Phone
(843) 972-0671
Fax
(843) 388-7281
NPI assigned
Sep 3, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X 4706 SC Primary

Addresses

Primary practice location

3409 Salterbeck CT
Suite 202
Mt Pleasant, SC 29466-7117

Mailing address

2877 Doncaster Dr
Charleston, SC 29414-6737
Phone (843) 442-7264

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

LicenseStateTypeSpecialty
4706SCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehabilitation Services LLC Geriatrics CurrentSince Feb 1, 2024 Accepting new patients
Impact Therapy, LLC Geriatrics Past Accepting new patients

Locations

7 Carnegie Plz
Cherry Hill, NJ 08003

20 E Piccadilly St
Ste 1114
Winchester, VA 22601

Organizations & group practices 2

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": "1346630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346630400000",
    "number": "1891044087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2877 DONCASTER DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294146737",
            "telephone_number": "843-442-7264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3409 SALTERBECK CT",
            "address_2": "SUITE 202",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294667117",
            "telephone_number": "843-972-0671",
            "fax_number": "843-388-7281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUMLEY-JONES",
        "first_name": "JILL",
        "middle_name": "SUZANNE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-03",
        "last_updated": "2012-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "SC",
            "license": "4706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2012; 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.