Jessica Alimarie Glenn, PHYSICAL THERAPY ASS

Primary specialty

SpecialistTaxonomy code 174400000X

License

SPECIALIST 183 Issued in SC

Practice address

304 Jacobs Hwy
Clinton, SC 29325

Phone

(864) 833-2550

Fax

(864) 938-9240

NPI assigned

Mar 16, 2009

Last updated

Mar 16, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jessica Alimarie Key Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• NHC Healthcare-Clinton LLC

  dba NHC HealthCare, Clinton

  • Skilled Nursing Facility
  • Clinton, SC
  • NPI 1962440636
  NPD (past)

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

{
    "created_epoch": "1237161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237161600000",
    "number": "1902047350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 727",
            "address_2": "304 JACOBS HWY",
            "city": "CLINTON",
            "state": "SC",
            "postal_code": "29325",
            "telephone_number": "864-833-2550",
            "fax_number": "864-938-9240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 JACOBS HWY",
            "city": "CLINTON",
            "state": "SC",
            "postal_code": "29325",
            "telephone_number": "864-833-2550",
            "fax_number": "864-938-9240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLENN",
        "first_name": "JESSICA",
        "middle_name": "ALIMARIE",
        "credential": "PHYSICAL THERAPY ASS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-16",
        "last_updated": "2009-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "SC",
            "license": "SPECIALIST 183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "KEY",
            "middle_name": "ALIMARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dana Fuller, FNP
• Mason Paige Gambrell
• Paula Garrett, RN
• Keith Calvin Gatchell, M.D.
• Gill P. Thomas, OD
• Wendell D Glenn, MSW
• Will Godfrey, PA-C
• Georges P. Godfrin, NP
• Colleen Diane Goff, LPC
• John Gordon, PT

• Specialist in Clinton, SC
• Providers in Clinton, SC by specialty
• Specialist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2009; 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.