Individual provider Active NPI

Rachelle Byles, PTA, ATC, SCAT

  • Physical Therapy Assistant
  • Summerville, SC
National Provider Identifier
1083159990
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
4941 Issued in SC
Practice address
601 Holloway St Apt 8322
Summerville, SC 29486-8384
Phone
(828) 371-9268
NPI assigned
Jan 1, 2017
Last updated
Oct 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X SC530354 SC
Physical Therapy Assistant 225200000X 4941 SC Primary

Addresses

Primary practice location

601 Holloway St Apt 8322
Summerville, SC 29486-8384

Mailing address

601 Holloway St Apt 8322
Summerville, SC 29486-8384
Phone (828) 371-9268

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SC530354SCMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1483228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1083159990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 HOLLOWAY ST APT 8322",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294868384",
            "telephone_number": "828-371-9268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 HOLLOWAY ST APT 8322",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294868384",
            "telephone_number": "828-371-9268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYLES",
        "first_name": "RACHELLE",
        "name_prefix": "Mrs.",
        "credential": "PTA, ATC, SCAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-01",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "SC",
            "license": "SC530354",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "SC",
            "license": "4941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.