MEDICARE: JONATHAN FEAGIN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1659237394
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JONATHAN FEAGIN

Provider Business Mailing Address
First Line	:	1146 SYMMES DR
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29407-7059
Country	:	US
Telephone Number	:	843-860-5461
Fax Number	:

Provider Business Practice Location Address
First Line	:	268 CALHOUN ST
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29425-8906
Country	:	US
Telephone Number	:	843-792-5252
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/26/2025
Last Update Date	:	12/26/2025

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Directions to “ JONATHAN FEAGIN ” Practice Location

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