Active NPI
Megan Miller Pettinato, PT,DPT
- Physical Therapist
- Lyman, SC
National Provider Identifier
1033542014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 415 Butler Rd
Lyman, SC 29365-9667 - Phone
- (401) 440-7045
- NPI assigned
- Aug 14, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
415 Butler Rd
Lyman, SC 29365-9667
Mailing address
415 Butler Rd
Lyman, SC 29365-9667
Phone (401) 440-7045
Other names 1
- Megan E Miller
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230728002719 | SC | Practitioner - Physical Therapist in Private Practice | 2769626092 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Weston Group of South Carolina Inc
Practice addresses (Care Compare)
3709 Clark Rd
Boiling Springs, SC 29316-9787
Phone (864) 345-2701
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11025 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Weston Group of South Carolina Inc | Physical Therapist | Current | Accepting new patients |
Locations
3709 Clark Rd
Boiling Springs, SC 29316
Phone (864) 345-2701
872 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 347-3050
Organizations & group practices 1
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.
-
- Physical Therapist
- Bluffton, SC
- NPI 1073957064
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737072000000",
"number": "1033542014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 BUTLER RD",
"city": "LYMAN",
"state": "SC",
"postal_code": "293659667",
"telephone_number": "401-440-7045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 BUTLER RD",
"city": "LYMAN",
"state": "SC",
"postal_code": "293659667",
"telephone_number": "401-440-7045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETTINATO",
"first_name": "MEGAN",
"middle_name": "MILLER",
"credential": "PT,DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-14",
"last_updated": "2025-01-17",
"certification_date": "2025-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MEGAN",
"last_name": "MILLER",
"middle_name": "E",
"credential": "PT,DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lyman, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; 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.