Active NPI
Timothy W Altenburg, DPT
- Physical Therapist
- Murrells Inlet, SC
National Provider Identifier
1922318864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6049
- Practice address
- 296 Outboard Dr
Murrells Inlet, SC 29576-9604 - Phone
- (843) 318-6621
- NPI assigned
- Oct 13, 2010
- Last updated
- Jan 27, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 | 6049 | SC | Primary |
Addresses
Primary practice location
296 Outboard Dr
Murrells Inlet, SC 29576-9604
Mailing address
296 Outboard Dr
Murrells Inlet, SC 29576-9604
Phone (843) 318-6621
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6049 | SC | MD | Professional Counselor |
Organizations & group practices 1
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.
-
- Physical Therapist
- Murrells Inlet, SC
- NPI 1740670876
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422316800000",
"number": "1922318864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "296 OUTBOARD DR",
"city": "MURRELLS INLET",
"state": "SC",
"postal_code": "295769604",
"telephone_number": "843-318-6621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "296 OUTBOARD DR",
"city": "MURRELLS INLET",
"state": "SC",
"postal_code": "295769604",
"telephone_number": "843-318-6621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALTENBURG",
"first_name": "TIMOTHY",
"middle_name": "W",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-10-13",
"last_updated": "2015-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "6049",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Murrells Inlet, SC
- Advanced Sleep and Breathing Centers, LLC (Advanced Sleep and TMJ Centers)
- Agape Assisted Living at Garden City, Inc.
- Sheryl Kay Aiken, DNP
- Align Speech Therapy and Consulting LLC
- Jamaica E Alston
- Jacklyn M Altman, PHARMD
- Roxanne N Altman, FNP-C
- Amedco South Carolina LLC (Atlantic Eye Associates)
- American Health Imaging of South Carolina LLC (American Health Imaging of Murrels Inlet)
- Amsol Anesthetists of Murrells Inlet, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.