Rebecca Fowler Vereen, PT
Individual provider Active NPI Physical Therapist · MC Coll, SC
NPI 1104023738 · NPPES record last updated Oct 5, 2021
Key facts
- NPI
- 1104023738
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2135 (SC)
- Practice address
- 3080 Highway 15-401 E Ste B
MC Coll, SC 29570-6128 - Phone
- (843) 894-1141
- Fax
- (843) 894-1142
- NPI assigned
- Jun 28, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- University of North Carolina at Chapel Hill School of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Palmetto Physical Therapy and Wellness Center
Practice addresses (Care Compare)
2015 W Evans St
Suite F
Florence, SC 29501-3392
Phone (843) 432-2506
3080 Hwy 15-401 E
MC Coll, SC 29570-6128
Phone (877) 231-4452
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211027003136 | SC | Practitioner - Physical Therapist in Private Practice | 6709274590 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2135 | SC | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ih3 Physcial Therapy | Physical Therapist | Current |
Accepting new patients |
| Palmetto Physical Therapy and Wellness Center | Physical Therapist | Current |
Accepting new patients |
Locations
2015 W Evans St
Ste F
Florence, SC 29501
Phone (843) 432-2504
148 Sauls St
Ste B
Lake City, SC 29560
Phone (843) 374-0185
3080 Highway 15-401 E
Ste B
Mc Coll, SC 29570
Phone (843) 894-1141
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2135 | SC | Yes |
Addresses
Primary practice location
3080 Highway 15-401 E Ste B
MC Coll, SC 29570-6128
Mailing address
148 Sauls St Ste B
Lake City, SC 29560-2677
Phone (843) 374-0185
Other providers in MC Coll, SC
All providers in MC Coll, SC · Physical Therapist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 5, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.