Virtus Health - Performance

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

VIRTUS HEALTH - PERFORMANCE

Practice address

1238 Yeamans Hall Rd Ste 1
Hanahan, SC 29410-2790

Phone

(804) 338-6754

NPI assigned

Jan 19, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan Vaden III, PTNPI 1033634605

Title

Owner

Phone

(804) 338-6754

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jonathan Vaden, DPT

  • Physical Therapist
  • Charleston, SC
  • NPI 1033634605
  NPD Authorized official

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

{
    "created_epoch": "1547856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547856000000",
    "number": "1922572213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2244 ASHLEY CROSSING DR UNIT 333",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294146084",
            "telephone_number": "804-338-6754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1238 YEAMANS HALL RD STE 1",
            "city": "HANAHAN",
            "state": "SC",
            "postal_code": "294102790",
            "telephone_number": "804-338-6754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRTUS HEALTH - PERFORMANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-19",
        "last_updated": "2019-01-19",
        "status": "A",
        "authorized_official_last_name": "VADEN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-338-6754",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tricounty Virtual Therapy
• Nancey Trevanian Tsai, MD
• Halie Tumbleston
• Lindsay Moore Versprille, M.A., CCC-SLP
• Vida Bella Services, LLC
• Charles James Washington
• Lauren Ashley Washington, LMSW
• Alexandra Wease, OTR/L
• Alvin Weatherford, DDS
• Kathryn Whatley, DPT

• Physical Therapist in Hanahan, SC
• Providers in Hanahan, 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 Jan 19, 2019; 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.