Deeper Roots Physical Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

DEEPER ROOTS PHYSICAL THERAPY, LLC

Practice address

4606 Moorefield Memorial Hwy
Pickens, SC 29671-9065

Phone

(310) 408-3290

Fax

(866) 655-2571

NPI assigned

Jan 11, 2023

Organization subpart

No

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

Authorized official

Name

Elise Hookey, PT

Title

Owner

Phone

(310) 408-3290

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Catherine Allred Stone, LISW-CP

  • Clinical Social Worker
  • Pickens, SC
  • NPI 1497775043
  NPD (past)

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

{
    "created_epoch": "1673395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673395200000",
    "number": "1023722329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2638 TABLE ROCK RD",
            "city": "PICKENS",
            "state": "SC",
            "postal_code": "296718670",
            "telephone_number": "310-408-3290",
            "fax_number": "866-655-2571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4606 MOOREFIELD MEMORIAL HWY",
            "city": "PICKENS",
            "state": "SC",
            "postal_code": "296719065",
            "telephone_number": "310-408-3290",
            "fax_number": "866-655-2571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEEPER ROOTS PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-11",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A",
        "authorized_official_last_name": "HOOKEY",
        "authorized_official_first_name": "ELISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-408-3290",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Crawford
• Michael Wade Crouch, NCPRSS
• Molly Dalva, M. ED. , EDS, NCC
• Catherine Daniel, DMD
• Michelle Ann Davis, RN,CMSRN
• Charlotte J Derrer, RN
• Michael L Dillard, M.D.
• Michael E Donald, M.D.
• Jonathan Donnald, LPC
• Brian R Dooley, D.C.

• Physical Therapist in Pickens, SC
• Providers in Pickens, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.