Individual provider Active NPI

Emily Sage Carrell, PT

  • Physical Therapist
  • Goose Creek, SC
National Provider Identifier
1043959562
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11327 Issued in SC
Practice address
209 Saint James Ave
Goose Creek, SC 29445-2998
Phone
(843) 793-4466
NPI assigned
Jun 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11327 SC Primary

Addresses

Primary practice location

209 Saint James Ave
Goose Creek, SC 29445-2998

Mailing address

209 Saint James Ave
Goose Creek, SC 29445-2998
Phone (843) 793-4466

Other practice location 1

912 Johnnie Dodds Blvd Ste 100
Mount Pleasant, SC 29464-3105
Phone (843) 352-2464

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240324000167 SC Practitioner - Physical Therapist in Private Practice 9234576448 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Joints in Motion Physical Therapy and Wellness, LLCGroup PAC ID 1951588011, 5 clinicians

Practice addresses (Care Compare)

209 Saint James Ave
Suite 2B
Goose Creek, SC 29445-2998
Phone (843) 793-4466

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11327SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Joints in Motion Physical Therapy and Wellness, LLC Physical Therapist CurrentSince Sep 18, 2023 Accepting new patients
Holy City Pediatric Therapy LLC CurrentSince Jun 1, 2022 Accepting new patients

Locations

142 Sportsman Island Dr
Ste E
Daniel Island, SC 29492
Phone (843) 696-2174

209 Saint James Ave
Ste 2B
Goose Creek, SC 29445
Phone (843) 793-4466

912 Johnnie Dodds Blvd
#100
Mount Pleasant, SC 29464
Phone (843) 352-2464

Organizations & group practices 2

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": "1654128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1043959562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 SAINT JAMES AVE",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294452998",
            "telephone_number": "843-793-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 SAINT JAMES AVE",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294452998",
            "telephone_number": "843-793-4466"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "912 Johnnie Dodds Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "SC",
            "postal_code": "294643105",
            "country_code": "US",
            "telephone_number": "843-352-2464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARRELL",
        "first_name": "EMILY",
        "middle_name": "SAGE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-02",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "11327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goose Creek, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.