Thomas A Hetherington, PT OCS FAAOMPT CFMT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2123 Issued in SC

Practice address

18 Professional Village Circle
Beaufort, SC 29907

Phone

(843) 986-9670

Fax

(843) 986-9369

NPI assigned

Dec 7, 2005

Last updated

Sep 22, 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

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.

• Coastal Physical Therapy Inc

  • Physical Therapist
  • Beaufort, SC
  • NPI 1700844578
  Authorized official Same address or phone

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316649600000",
    "number": "1912982414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 PROFESSIONAL VILLAGE CIRCLE",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "29907",
            "telephone_number": "843-986-9670",
            "fax_number": "843-986-9369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 PROFESSIONAL VILLAGE CIRCLE",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "29907",
            "telephone_number": "843-986-9670",
            "fax_number": "843-986-9369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HETHERINGTON",
        "first_name": "THOMAS",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "PT OCS FAAOMPT CFMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-07",
        "last_updated": "2011-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "2123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heritage Dermatology PC
• Claudette Herman, MA
• Meredith Elise Bernhard Hernandez, MD
• Jodi C Herrmann, MS, CCC-SLP
• Julia B Hetherington, MHS OTR CHT
• Martin Hickey, DDS
• Travis Hicks, OTR/L
• Michelle Hanna Hiers, MA, SLP-CCC
• Lanita Higgins
• Brooke Taylor Hightower, DPT

• Physical Therapist in Beaufort, SC
• Providers in Beaufort, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.