Active NPI
Stephen Bradley Tucker, P.T., D.P.T.
- Physical Therapist
- Rock Hill, SC
National Provider Identifier
1952798282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7470
- Practice address
- 231 S Herlong Ave
Rock Hill, SC 29732-1159 - Phone
- (803) 366-4415
- NPI assigned
- Apr 24, 2015
- Sex
- Male
- Sole proprietor
- No
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 | 7470 | SC | Primary |
Addresses
Primary practice location
231 S Herlong Ave
Rock Hill, SC 29732-1159
Mailing address
539 Menzies Dr
Rock Hill, SC 29730-7472
Phone (803) 322-2499
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 |
|---|---|---|---|
| 7470 | SC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matrix Rehabilitation-South Carolina, Inc. | Physical Therapist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Rehabilitation Clinic/Center
- Rock Hill, SC
- NPI 1093731176
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452816000000",
"number": "1952798282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "539 MENZIES DR",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297307472",
"telephone_number": "803-322-2499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "231 S HERLONG AVE",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297321159",
"telephone_number": "803-366-4415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "STEPHEN",
"middle_name": "BRADLEY",
"name_prefix": "Dr.",
"credential": "P.T., D.P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-24",
"last_updated": "2016-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "7470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rock Hill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.