Dwayne Ansel King, PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

6563 Issued in SC

Practice address

132 B Sunset Court
West Columbia, SC 29169-2429

Phone

(803) 796-5116

Fax

(803) 796-5131

NPI assigned

Dec 1, 2011

Last updated

Dec 1, 2011By 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 1

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.

• Carolina Therapy Solutions, LLC

  • Specialist
  • West Columbia, SC
  • NPI 1508953589

  Orthopedic

  NPD (past)

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

{
    "created_epoch": "1322697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322697600000",
    "number": "1891063160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 B SUNSET COURT",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291692429",
            "telephone_number": "803-796-5116",
            "fax_number": "803-796-5131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 B SUNSET COURT",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291692429",
            "telephone_number": "803-796-5116",
            "fax_number": "803-796-5131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "DWAYNE",
        "middle_name": "ANSEL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-01",
        "last_updated": "2011-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "SC",
            "license": "6563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Betsy Lynn Kimbrell, RPH
• Carl O. Kinard, M.D.
• Philip Whitaker Kinder, M.D.
• Alyssa King, PHARMD
• Amber Sharise King, OTR
• Jacob Jordan King, PHARMD, MBA
• Shelly Lynn King, DPT, CLT-LANA
• David R Kingery, MD
• David Redding Kingery Jr., MD
• Kingship Properties, LLC

• Orthopedic Physical Therapist in West Columbia, SC
• Providers in West Columbia, SC by specialty
• Orthopedic Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; 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.