JONATHAN DANIEL WHITTEN (NPI# 1093287138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093287138 |
Entity Type | Individual |
Full Name | JONATHAN DANIEL WHITTEN |
Credential | BOCO |
Practice Address |
103 Clair Dr Ste B Piedmont SC 29673-6401 |
Mailing Address |
315 Looper Rd Pelzer SC 29669-1042 |
Practice Telephone | 8642524377 |
Enumeration Date | 2018-12-31 |
Last Update Date | 2018-12-31 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 222Z00000X | Orthotist | C52190 | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
103 CLAIR DR STE B |
City | PIEDMONT |
State | SC |
Zip Code | 29673-6401 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356814248 | Gofeet Orthotics LLC | Orthotist | 103 Clair Dr Ste B, Piedmont, SC 29673-6401 | 2019-01-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750982674 | Coco Carter | Licensed Practical Nurse | 210 Helen St, Piedmont, SC 29673 | 2020-11-06 |
1962975888 | Powdersville Family Pharmacy LLC | Pharmacy | 11061 Anderson Road, Piedmont, SC 29673 | 2019-01-03 |
1720571003 | Ingles Markets Inc | Pharmacy | 10903 Anderson Rd, Powdersville, SC 29673 | 2018-06-11 |
1982086518 | Joyce C. Gregory | Chore Provider | 2415 Fork Shoals Road, Piedmont, SC 29673 | 2015-06-19 |
1053741975 | Darlene Theresa Cooke | Massage Therapist | 100 New Cut Rd, Piedmont, SC 29673 | 2013-11-13 |
1497004311 | Robyn Deann Bailey | Pharmacist | 3460 Hwy 153, Piedmont, SC 29673 | 2012-09-06 |
1114276003 | Charity W Speed | Pharmacist | 7501 Augusta Road, Piedmont, SC 29673 | 2012-09-06 |
1033499827 | Joyce C Gregory | Community Based Residential Treatment Facility, Mental Illness | 2415 Fork Shoals Rd, Piedmont, SC 29673 | 2011-08-24 |
1801074273 | Richard Ernest Parnell Jr. | Chiropractor | 108b Clair Dr, Piedmont, SC 29673 | 2008-02-07 |
1487854956 | Upstate Neurology, P.a. | Specialist | 103 Clair Drive, Suite D, Piedmont, SC 29673 | 2007-07-23 |
Find all providers in zip 29673 |
Taxonomy Code | 222Z00000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Orthotist |
A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356814248 | Gofeet Orthotics LLC | Orthotist | 103 Clair Dr Ste B, Piedmont, SC 29673-6401 | 2019-01-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386164861 | Palmetto Biotech Prosthetics & Orthotics LLC | Orthotist | 1324 Calhoun St, Columbia, SC 29201-2512 | 2017-06-26 |
1891236949 | Ian Alerre | Orthotist | 280 Dillon Cir, Spartanburg, SC 29307-1030 | 2017-03-09 |
1053655530 | Bradley Clay Hornick | Orthotist | 931 Medical Cir, Myrtle Beach, SC 29572-4122 | 2012-11-21 |
1932409505 | Robert Allan Day | Orthotist | 2100 Old Highway 17 N Ste 102, North Myrtle Beach, SC 29582-2242 | 2010-10-28 |
1275766917 | Benjamin R Tigner | Orthotist | 6473 Chadwell Ct, Fort Mill, SC 29707-5840 | 2009-08-28 |
1861629446 | Kent Joseph Wiggins | Orthotist | 2210 Mossy Oaks Rd, Port Royal, SC 29935-1046 | 2009-06-22 |
1104997907 | Paul David Blakeley | Orthotist | 102 Willow Lane, Spartanburg, SC 29307-1343 | 2006-11-13 |
1518581222 | Biologic P and O, LLC | Orthotist | 230 Elliott St, Orangeburg, SC 29115-6022 | 2020-05-29 |
1639708571 | Rebecca Bradleigh Leland | Orthotist | 3250 Harden Street Ext Ste 200, Columbia, SC 29203-6842 | 2020-04-03 |
1134765167 | Brenda Lee Sorrells | Orthotist | 223 S Herlong Ave Ste 110, Rock Hill, SC 29732-1089 | 2019-11-25 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on JONATHAN DANIEL WHITTEN.
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.