Individual provider Active NPI

Rebecca Webster Smith, PT, DPT

  • Physical Therapist
  • Taylors, SC
National Provider Identifier
1003475724
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10708 Issued in SC
Practice address
3044 Wade Hampton Blvd
Taylors, SC 29687-2716
Phone
(864) 233-5128
NPI assigned
Jun 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT013957 GA
Physical Therapist 225100000X 10708 SC Primary

Addresses

Primary practice location

3044 Wade Hampton Blvd
Taylors, SC 29687-2716

Mailing address

1007 Grove Rd Ste C
Greenville, SC 29605-4630
Phone (864) 233-5128

Other practice location 1

4220 Mundy Mill Pl Ste 2B
Oakwood, GA 30566-2573
Phone (678) 450-9933

Other practice location 2

200 Patewood Dr Ste C150
Greenville, SC 29615-6323
Phone (864) 454-0904

Other names 1

  • Rebecca Turner Webster Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210723000198 SC Practitioner - Physical Therapist in Private Practice 8224460340 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Integrated Therapy Centers LLCGroup PAC ID 3274552716, 51 clinicians

Practice addresses (Care Compare)

1007 Grove Rd
Suite a
Greenville, SC 29605-4630
Phone (864) 233-5128

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10708SCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Greenville Proaxis Therapy LLC CurrentSince May 15, 2023 Accepting new patients
Greenville Proaxis Therapy, LLC Physical Therapist CurrentSince May 15, 2023 Accepting new patients
Elite Integrated Therapy Centers, LLC Physical Therapist CurrentSince Jun 16, 2021 Accepting new patients
Prisma Health University Medical Group Past Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

33205 Collection Ctr Dr
Chicago, IL 60693

2005 E Greenville St
Ste 119
Anderson, SC 29621
Phone (864) 512-7023

1007 Grove Rd
#C
Greenville, SC 29605

200 Patewood Dr
Ste C150
Greenville, SC 29615
Phone (864) 454-0904

103 N Main St
Ste 201
Greenville, SC 29601
Phone (864) 528-5753

1007 Grove Rd
#A
Greenville, SC 29605

3044 Wade Hampton Blvd
Taylors, SC 29687
Phone (864) 232-5128

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1003475724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 GROVE RD STE C",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054630",
            "telephone_number": "864-233-5128",
            "fax_number": "864-271-2599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3044 WADE HAMPTON BLVD",
            "city": "TAYLORS",
            "state": "SC",
            "postal_code": "296872716",
            "telephone_number": "864-233-5128"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4220 Mundy Mill Pl Ste 2B",
            "address_purpose": "LOCATION",
            "city": "Oakwood",
            "state": "GA",
            "postal_code": "305662573",
            "country_code": "US",
            "telephone_number": "678-450-9933",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Patewood Dr Ste C150",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296156323",
            "country_code": "US",
            "telephone_number": "864-454-0904",
            "fax_number": "864-454-0905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "REBECCA",
        "middle_name": "WEBSTER",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-06",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT013957",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "10708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "WEBSTER",
            "middle_name": "TURNER",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Taylors, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.