Individual provider Active NPI

Rachel Colleen Ruel, DPT

  • Physical Therapist
  • Rock Hill, SC
National Provider Identifier
1083127385
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12267 Issued in SC
Practice address
2460 India Hook Rd Ste 107
Rock Hill, SC 29732-3531
Phone
(803) 658-4073
Fax
(803) 329-1696
NPI assigned
Nov 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 26667 MD
Physical Therapist 225100000X 12267 SC Primary

Addresses

Primary practice location

2460 India Hook Rd Ste 107
Rock Hill, SC 29732-3531

Mailing address

141 Atrium Way
Columbia, SC 29223-6301
Phone (803) 788-8484

Other names 1

  • Rachel Colleen Jespersen Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240619000641 SC Practitioner - Physical Therapist in Private Practice 7719244698 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2460 India Hook Rd
Suite 107
Rock Hill, SC 29732-3531
Phone (803) 658-4073

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26667MDMDSocial Worker
12267SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Health Services Physical Therapist CurrentSince May 6, 2024 Accepting new patients
Benchmark Healthcare Services, LLC Physical Therapist CurrentSince May 6, 2024 Accepting new patients
Carolina Physical Therapy and Sports Medicine Limited Partnership Physical Therapist CurrentSince Dec 1, 2024 Accepting new patients
The Jackson Clinics LLC Physical Therapist PastSince Mar 14, 2022 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

131 Evergreen Rd
Ste 105
Clover, SC 29710
Phone (803) 810-6012

141 Atrium Way
Columbia, SC 29223
Phone (803) 788-8484

1000 Tanner Ford Blvd
Ste 370
Hanahan, SC 29410
Phone (843) 718-1058

2460 India Hook Rd
Ste 107
Rock Hill, SC 29732
Phone (803) 658-4073

Organizations & group practices 4

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": "1510099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1083127385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 ATRIUM WAY",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292236301",
            "telephone_number": "803-788-8484",
            "fax_number": "803-788-8499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 INDIA HOOK RD STE 107",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297323531",
            "telephone_number": "803-658-4073",
            "fax_number": "803-329-1696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUEL",
        "first_name": "RACHEL",
        "middle_name": "COLLEEN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-08",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "26667",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "12267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "JESPERSEN",
            "middle_name": "COLLEEN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.

Verify at the official NPI Registry.