Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jonathan Bennett Hixson, DPT

Individual provider Physical Therapist · NPI 1740815786

Dr. Jonathan Bennett Hixson, DPT is a Physical Therapist in Private Practice in Clover, South Carolina. Qualified in 2019, 7 years ago. Practices with Custom Physical Therapy and Fitness, a 6-clinician group and accepts Medicare assignment. Licensed in North Carolina and South Carolina.

Years since qualifying
7
Licensed in
NC, SC
In the registry since
2020
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

4543 Charlotte Hwy Ste 11
Clover, SC 29710-7057
Phone: (803) 831-1454
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence P19378 (NC)
Physical Therapist Taxonomy 225100000X · Licence 10169 (SC)

Record details

NPI number1740815786
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedMarch 10, 2020
Last updated in NPPESApril 27, 2020
Certification dateApril 27, 2020
Mailing address4160 Park South Station Blvd, Charlotte, NC 28210-4553

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Custom Physical Therapy And Fitness — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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