- Medicare Physical Therapist in Port Royal, SC

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is a medicare enrolled "Physical Therapist" provider in Port Royal, South Carolina. Their current practice location is 1510 Ribaut Rd, Port Royal, South Carolina. You can reach out to their office (for appointments etc.) via phone at (843) 524-3241.

is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1376379818.

Contact Information

1510 Ribaut Rd,
Port Royal, SC 29935-1403
(843) 524-3241
(843) 322-3240

Map and Direction




Healthcare Provider's Profile

Full Name
TypeFacility
SpecialityPhysical Therapist
Location1510 Ribaut Rd, Port Royal, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1376379818
  • Provider Enumeration Date: 09/11/2024
  • Last Update Date: 09/26/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2769915347
  • Enrollment ID: O20241105000118

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376379818NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameKimberly A Shull Massey
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1669529947
PECOS PAC ID: 6406841436
Enrollment ID: I20040419000440
Provider NameMichael S Goldberg
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1467413104
PECOS PAC ID: 5496732372
Enrollment ID: I20040630000225
Provider NameKristin C Taska
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1669422366
PECOS PAC ID: 7911972450
Enrollment ID: I20040830000142
Provider NameJason R Strickland
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1821048885
PECOS PAC ID: 7911928536
Enrollment ID: I20051212000266
Provider NameMadeline Baker
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1992090377
PECOS PAC ID: 3274711924
Enrollment ID: I20110628000172
Provider NameLisa M Wells
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1164763785
PECOS PAC ID: 6507006376
Enrollment ID: I20130628000423
Provider NameKanan A Jani
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1720402357
PECOS PAC ID: 3779703350
Enrollment ID: I20141002000670
Provider NameAmanda Cave Beckmann
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1053793844
PECOS PAC ID: 3274841143
Enrollment ID: I20150928000958
Provider NameSamantha Young Bowers
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1437673498
PECOS PAC ID: 6305110321
Enrollment ID: I20170914001985
Provider NameKimberly I Dymond
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1447514757
PECOS PAC ID: 4981968674
Enrollment ID: I20180504000879
Provider NameMichael Donovan Isreal
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1528550118
PECOS PAC ID: 1951658731
Enrollment ID: I20180725001157
Provider NameJessica Wilson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1497297089
PECOS PAC ID: 8022386754
Enrollment ID: I20190123004410
Provider NameMarc D Cutler
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1720273188
PECOS PAC ID: 2264617943
Enrollment ID: I20190815002598
Provider NameDanielle Marris
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1093361578
PECOS PAC ID: 8628309465
Enrollment ID: I20191009002912
Provider NameBradley Justin Kennedy
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1356741136
PECOS PAC ID: 8820421571
Enrollment ID: I20191210002846
Provider NameMadison Hobbs
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1376152439
PECOS PAC ID: 8426463688
Enrollment ID: I20210220000045
Provider NameMichael Waters
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1255675427
PECOS PAC ID: 0143475822
Enrollment ID: I20210813002056
Provider NameShiloh Burgreen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1760149603
PECOS PAC ID: 1759773237
Enrollment ID: I20220112002159
Provider NameJennifer Hernandez
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1477957611
PECOS PAC ID: 6709124035
Enrollment ID: I20220419000105
Provider NameDanielle Auclair
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1770505240
PECOS PAC ID: 5890898654
Enrollment ID: I20220610002327
Provider NameAndrea Lameris
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1770254914
PECOS PAC ID: 7416313309
Enrollment ID: I20230518003137
Provider NameAaron L Latimer
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1205085990
PECOS PAC ID: 4082773106
Enrollment ID: I20240122000341
Provider NameMallorie L O Brien
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1851998090
PECOS PAC ID: 4284047952
Enrollment ID: I20240415002952
Provider NameLauren N Bishop
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1700617743
PECOS PAC ID: 9537600507
Enrollment ID: I20240917004133
Provider NameKelly Shepherd
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1215521638
PECOS PAC ID: 7719413442
Enrollment ID: I20241205000383

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

Po Box 749303,
Atlanta, GA 30374-9303

Ph: () -
1510 Ribaut Rd,
Port Royal, SC 29935-1403

Ph: (843) 524-3241

Reviews and Comments


Physical Therapist in Port Royal, SC

Lauren Danae Lynass,
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 1510 Ribaut Rd, Port Royal, SC 29935
Phone: 602-808-8989    
Delia Istrate, PT, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1004 10th St, Port Royal, SC 29935
Phone: 843-310-9690    Fax: 800-317-9690
Timothy William Smith, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 1510 Ribaut Rd, Port Royal, SC 29935
Phone: 803-782-1587    
Rachel Marian Sanchez, PT, BS
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1004 10th St, Port Royal, SC 29935
Phone: 843-310-9689    Fax: 800-317-9690
Cara Mckenna,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1251 Ladys Island Dr, Port Royal, SC 29935
Phone: 843-521-2298    
Bradley Kennedy, D.P.T.
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 1510 Ribaut Rd, Port Royal, SC 29935
Phone: 843-524-3241    Fax: 843-322-3240

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.