Active NPI
Tracy Neill, PHYSICAL THERAPIST
- Physical Therapist
- Manning, SC
National Provider Identifier
1992006894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4166
- Practice address
- 242 Commerce St
Manning, SC 29102-2637 - Phone
- (803) 433-9001
- NPI assigned
- Nov 9, 2010
- 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 | 4166 | SC | Primary |
Addresses
Primary practice location
242 Commerce St
Manning, SC 29102-2637
Mailing address
242 Commerce St
Manning, SC 29102-2637
Phone (803) 433-9001
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289260800000",
"number": "1992006894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "242 COMMERCE ST",
"city": "MANNING",
"state": "SC",
"postal_code": "291022637",
"telephone_number": "803-433-9001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "242 COMMERCE ST",
"city": "MANNING",
"state": "SC",
"postal_code": "291022637",
"telephone_number": "803-433-9001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEILL",
"first_name": "TRACY",
"name_prefix": "Mr.",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-11-09",
"last_updated": "2010-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "4166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manning, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.