Individual provider Active NPI

Jillian E. Mann, D.P.T.

  • Orthopedic Physical Therapist
  • Mount Pleasant, SC
National Provider Identifier
1942500301
Registry record updated Sep 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
6585 Issued in SC
Practice address
1476 Ben Sawyer Blvd Ste 10
Mount Pleasant, SC 29464-4587
Phone
(978) 621-3948
Fax
(703) 443-6702
NPI assigned
Nov 1, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 6585 SC Primary

Addresses

Primary practice location

1476 Ben Sawyer Blvd Ste 10
Mount Pleasant, SC 29464-4587

Mailing address

1476 Ben Sawyer Blvd Ste 10
Mount Pleasant, SC 29464-4587
Phone (978) 621-3948

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

LicenseStateTypeSpecialty
6585SCMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Hospital Center Arlington Health System Past Accepting new patients
Loudoun Physical Therapy, Inc. PastSince Oct 1, 1998 Accepting new patients
Perfectly Fit Wellness, LLC Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378252800000",
    "number": "1942500301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1476 BEN SAWYER BLVD STE 10",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294644587",
            "telephone_number": "978-621-3948",
            "fax_number": "703-443-6702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1476 BEN SAWYER BLVD STE 10",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294644587",
            "telephone_number": "978-621-3948",
            "fax_number": "703-443-6702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "JILLIAN",
        "middle_name": "E.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-01",
        "last_updated": "2013-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "SC",
            "license": "6585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2013; 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.