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1538615893 NPI number — REMEDIOS TIMO PT, DPT, SCS

NPI Number: 1538615893
Health Care Provider/Practitioner: REMEDIOS TIMO PT, DPT, SCS

Information about “1538615893” NPI (REMEDIOS TIMO PT, DPT, SCS) exists in 1538615893 in HTML format HTML  |  1538615893 in plain Text format TXT  |  1538615893 in PDF (Portable Document Format) PDF  |  1538615893 in an XML format XML  formats.

NPI Number : 1538615893 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1538615893",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "TIMO",
    "FirstName": "REMEDIOS",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PT, DPT, SCS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "DONDOYANO",
    "OtherFirstName": "REMEDIOS",
    "OtherMiddleName": "MACAN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1105 12TH ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CAYCE",
    "MailingAddressStateName": "SC",
    "MailingAddressPostalCode": "29033-3304",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "803-973-0100",
    "MailingAddressFaxNumber": "803-973-0117",
    "FirstLinePracticeLocationAddress": "1105 12TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CAYCE",
    "PracticeLocationAddressStateName": "SC",
    "PracticeLocationAddressPostalCode": "29033-3304",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "803-973-0100",
    "PracticeLocationAddressFaxNumber": "803-973-0117",
    "EnumerationDate": "08/28/2016",
    "LastUpdateDate": "05/13/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "225100000X",
        "TaxonomyName": "Physical Therapist",
        "LicenseNumber": "12519",
        "LicenseNumberStateCode": "SC",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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