Active NPI
Vicki Godbold
- Physical Therapist
- Dillon, SC
National Provider Identifier
1942443999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1200
- Practice address
- 210 W Harrison St
Dillon, SC 29536-3310 - Phone
- (843) 774-7132
- Fax
- (843) 841-2482
- NPI assigned
- Apr 7, 2009
- Sex
- Female
- 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 | 1200 | SC | Primary |
Addresses
Primary practice location
210 W Harrison St
Dillon, SC 29536-3310
Mailing address
1928 Gaddys Mill Rd
Hamer, SC 29547-7033
Phone (843) 774-7132
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1200 | SC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239062400000",
"number": "1942443999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1928 GADDYS MILL RD",
"city": "HAMER",
"state": "SC",
"postal_code": "295477033",
"telephone_number": "843-774-7132",
"fax_number": "843-841-2482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 W HARRISON ST",
"city": "DILLON",
"state": "SC",
"postal_code": "295363310",
"telephone_number": "843-774-7132",
"fax_number": "843-841-2482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GODBOLD",
"first_name": "VICKI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-07",
"last_updated": "2009-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "1200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dillon, SC
- Victoria Michelle Galuppo, FNP-BC, APRN
- Jeffrey R Geer, OD
- Tracy Privette George, F.N.P.
- Ryan Douglas Gilbert, M.D.
- Demetrice Nichole Gist, RN
- Terri B. Godbolt, MENTAL HEALTH COUNSE
- Brittany Godwin
- John Graham
- Grainger Speech Language Pathology Services Inc (Therapy Solutions of Dillon)
- April McDuffie Grainger, MS, CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.