Individual provider Active NPI

Nancy Kana Imbeau, PT

  • Physical Therapist
  • Columbia, SC
National Provider Identifier
1053723577
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7893 Issued in SC
Practice address
4420 Rosewood Dr
Columbia, SC 29209-2629
Phone
(803) 233-1366
Fax
(803) 233-1367
NPI assigned
Jun 2, 2014
Last updated
Jun 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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 7893 SC Primary

Addresses

Primary practice location

4420 Rosewood Dr
Columbia, SC 29209-2629

Mailing address

PO Box 6526
Columbia, SC 29260-6526
Phone (803) 693-5040

Other names 1

  • Nancy Kana Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151030001644 SC Practitioner - Physical Therapist in Private Practice 5496974669 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pro-Motion Physical Therapy of Florence SC LLCGroup PAC ID 8820307580, 18 clinicians

Practice addresses (Care Compare)

4420 Rosewood Dr
Columbia, SC 29209-2629
Phone (803) 233-1366

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7893SCMDProfessional Counselor
14904NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pro-Motion Physical Therapy of Columbia, SC CurrentSince Jul 21, 2024 Accepting new patients
Pro-Motion Physical Therapy of Florence, SC, LLC Physical Therapist CurrentSince Sep 14, 2015 Accepting new patients
Ih3 Physcial Therapy Physical Therapist PastSince Nov 16, 2021 Accepting new patients

Locations

301 E DeKalb St
#B
Camden, SC 29020
Phone (803) 432-2432

4420 Rosewood Dr
Columbia, SC 29209
Phone (803) 233-1366

610 W Palmetto St
Florence, SC 29501
Phone (843) 374-0185

148 Sauls St
Ste B
Lake City, SC 29560
Phone (843) 374-0185

Organizations & group practices 3

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": "1401667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1053723577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6526",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292606526",
            "telephone_number": "803-693-5040",
            "fax_number": "803-993-9472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4420 ROSEWOOD DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292092629",
            "telephone_number": "803-233-1366",
            "fax_number": "803-233-1367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMBEAU",
        "first_name": "NANCY",
        "middle_name": "KANA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-02",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "7893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "KANA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; 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.