Individual provider Active NPI

Janie Crossland, RPT

  • Physical Therapist
  • Mount Pleasant, SC
National Provider Identifier
1053658591
Registry record updated Jan 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1104 Issued in SC
Practice address
3409 Salterbeck St
Suite 202
Mt Pleasant, SC 29466
Phone
(843) 972-0671
NPI assigned
Jan 3, 2013
Last updated
Jan 3, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2013

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 1104 SC Primary

Addresses

Primary practice location

3409 Salterbeck St
Suite 202
Mt Pleasant, SC 29466

Mailing address

1110 Meadowcroft LN
Mt Pleasant, SC 29464-4204

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130226000379 SC Practitioner - Physical Therapist in Private Practice 7517112410 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Medical University of South Carolina College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Olympic Physical Therapy LLCGroup PAC ID 6800856428, 10 clinicians

Practice addresses (Care Compare)

1476 Long Grove Dr
Mount Pleasant, SC 29464-7571
Phone (843) 216-3534

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1104SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Olympic Physical Therapy LLC Physical Therapist CurrentSince Feb 22, 2017 Accepting new patients

Locations

1476 Long Grove Dr
Mt Pleasant, SC 29464
Phone (843) 216-3534

1476 Long Grove Dr
Ste 1
Mt Pleasant, SC 29464
Phone (843) 216-3534

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1357171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357171200000",
    "number": "1053658591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 MEADOWCROFT LN",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294644204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3409 SALTERBECK ST",
            "address_2": "SUITE 202",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "29466",
            "telephone_number": "843-972-0671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSSLAND",
        "first_name": "JANIE",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-03",
        "last_updated": "2013-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "1104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; 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.