JASON M ANDERS (NPI# 1023002268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023002268 |
| Entity Type | Individual |
| Full Name | JASON M ANDERS |
| Credential | DPT |
| Practice Address |
201 Brightwater Dr Myrtle Beach SC 29579-8298 |
| Practice Telephone | 3042364131 |
| Practice Fax Number | 3042364131 |
| Mailing Telephone | 3042363579 |
| Mailing Fax Number | 3042364131 |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2018-04-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 8839 | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225100000X | Physical Therapist | 001945 | WV | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | BCBS | 000019092 | 01 |
| CIGNA | 9761231 | 01 | |
| CARELINK COVENTRY | 261076 | 01 | |
| WV | 7302438000 | 05 | |
| WV | RAILROAD MEDICARE | P00687438 | 01 |
| WV | MAMSI | 2369668 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710343173 | Jason Anders | Pharmacist | 1167 Highway 49 S, Richland, MS 39218-4409 | 2016-01-14 |
| 1336389618 | Jason D Anders | Massage Therapist | 4900 Se Division St, Portland, OR 97206-1544 | 2009-02-26 |
| Street Address |
201 BRIGHTWATER DR |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29579-8298 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962065201 | Carson Castor | Occupational Therapist | 201 Brightwater Dr, Myrtle Beach, SC 29579-8298 | 2019-04-22 |
| 1871999714 | Lauren K Slough | Occupational Therapy Assistant | 201 Brightwater Dr, Myrtle Beach, SC 29579-8298 | 2014-11-04 |
| 1295152387 | Allison March | Physical Therapy Assistant | 201 Brightwater Dr, Myrtle Beach, SC 29579-8298 | 2014-03-26 |
| 1548686363 | Victoria Nicole Spaar | Occupational Therapist | 201 Brightwater Dr, Myrtle Beach, SC 29579-8275 | 2014-03-17 |
| 1669710489 | Tyrone Davis | Physical Therapy Assistant | 201 Brightwater Dr, Myrtle Beach, SC 29579-8298 | 2013-01-29 |
| 1336407238 | Bobby B. Perry Jr. | Physical Therapy Assistant | 201 Brightwater Dr, Myrtle Beach, SC 29579-8298 | 2012-04-27 |
| 1730332743 | Domenique O'day | Physical Therapist | 201 Brightwater Dr, Genesis Rehab, Myrtle Beach, SC 29579-8298 | 2008-11-04 |
| 1851417349 | Kathleen E Todd | Occupational Therapist | 201 Brightwater Dr, Myrtle Beach, SC 29579-8298 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598323198 | P & E Company | Counselor | 4105 Carolina Commercial Dr. Unit #2, Myrtle Beach, SC 29579 | 2019-05-30 |
| 1528624632 | Matthew Meehan | Nurse Practitioner | 4016 River Oaks Dr # 6511, Myrtle Beach, SC 29579 | 2019-05-14 |
| 1427518265 | Brian Donovan Doherty | Student in an Organized Health Care Education/Training Program | Grand Strand Medical Center 809 82nd Parkway, Gme Office, Myrtle Beach, SC 29579 | 2019-03-20 |
| 1508347931 | South Carolina Cvs Pharmacy LLC | Pharmacy | 578 International Dr, Myrtle Beach, SC 29579 | 2018-08-23 |
| 1497256176 | Orthosc LLC | Orthopaedic Surgery | 185 Fresh Dr Ste B, Myrtle Beach, SC 29579 | 2018-02-27 |
| 1740708981 | Dental Professional of South Carolina, P.C. | Dentist | 568 International Dr, Myrtle Beach, SC 29579 | 2017-09-08 |
| 1093232480 | Johnathan T Steppe | Dentist | 568 International Drive, Myrtle Beach, SC 29579 | 2017-08-25 |
| 1346638483 | Little River Medical Center, Inc | Clinic/Center | 4220 Carolina Exchange Blvd, Myrtle Beach, SC 29579 | 2014-12-23 |
| 1154726818 | Mina Gaid | Pharmacist | 1303 38th Avenue North, Myrtle Beach, SC 29579 | 2014-10-23 |
| 1528471364 | Paola Goyeneche | Counselor | 5015 Carolina Forest Blvd, Myrtle Beach, SC 29579 | 2014-06-10 |
| Find all providers in zip 29579 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891320677 | Elizabeth Poer Lee | Physical Therapist | 1286 Ficus Dr, Myrtle Beach, SC 29579-8495 | 2020-03-11 |
| 1609431030 | Advanced Medical Care Mb LLC | Physical Therapist | 4016 River Oaks Drive, Myrtle Beach, SC 29579-8487 | 2019-05-01 |
| 1144704297 | Laura M Feneley | Physical Therapist | 121 Gateway Rd Unit B, Myrtle Beach, SC 29579-5400 | 2018-09-24 |
| 1275025918 | Prs 8, LLC | Physical Therapist | 1620 Farrow Pkwy Unit A5, Myrtle Beach, SC 29577-2012 | 2018-05-30 |
| 1053802330 | Prs 7, LLC | Physical Therapist | 2140 Oakheart Rd, Myrtle Beach, SC 29579-1253 | 2018-05-23 |
| 1083140255 | Audrey Gore | Physical Therapist | 1200 Ragin St, Myrtle Beach, SC 29577-3346 | 2017-05-10 |
| 1174073175 | Harriet Mcgovern | Physical Therapist | 10301 N Kings Hwy Apt 15-5, Myrtle Beach, SC 29572-6710 | 2016-10-13 |
| 1760891881 | Jill F Phelan | Physical Therapist | 3076 Dick Pond Rd Unit 4, Myrtle Beach, SC 29588-7992 | 2014-08-04 |
| 1811328362 | Jacqueline Ann Knipper | Physical Therapist | 1375 Royal Devon Dr, Myrtle Beach, SC 29575-5853 | 2013-12-10 |
| 1922436906 | Pamela Stoshak | Physical Therapist | 113 Breakers Drive Apt 321, Myrtle Beach, SC 29579 | 2013-10-29 |
| Find all providers in MYRTLE BEACH | ||||
| City | MYRTLE BEACH |
| Zip Code | 29579 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.