Individual provider Active NPI

Laura Rose Libassi

  • Physical Therapist
  • Charleston, SC
National Provider Identifier
1104420280
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10471 Issued in SC
Practice address
445 Savannah Hwy
Charleston, SC 29407-7207
Phone
(843) 766-2121
NPI assigned
Nov 30, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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 10471 SC Primary

Addresses

Primary practice location

445 Savannah Hwy
Charleston, SC 29407-7207

Mailing address

2114 Highway 41 Ste 104
Mount Pleasant, SC 29466-6204

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210113001855 SC Practitioner - Physical Therapist in Private Practice 5193138030 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Benchmark Healthcare Services LLCGroup PAC ID 3779726468, 136 clinicians
Agilitas USA, IncGroup PAC ID 3375454648, 812 clinicians

Practice addresses (Care Compare)

625 B Skylark Dr
Unit B
Charleston, SC 29407-5782
Phone (843) 793-1596

915 Folly Rd
Suite J
Charleston, SC 29412-3907
Phone (843) 203-6955

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Agilitas USA Inc Single Specialty CurrentSince Apr 8, 2024 Accepting new patients
Benchmark Health Services Physical Therapist CurrentSince Apr 8, 2024 Accepting new patients
Private Therapy Services LLC Single Specialty CurrentSince Nov 30, 2020 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Apr 8, 2024 Accepting new patients
Benchmark Healthcare Services, LLC Physical Therapist CurrentSince Apr 8, 2024 Accepting new patients
Fox Rehabilitation Services of South Carolina, LLC Single Specialty CurrentSince Mar 1, 2022 Accepting new patients

Locations

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

625 Skylark Dr
Unit B
Charleston, SC 29407
Phone (843) 793-1596

445 Savannah Hwy
Charleston, SC 29407
Phone (843) 766-2121

915 Folly Rd
Ste J
Charleston, SC 29412
Phone (843) 203-6955

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

3032 W Montague Ave
Ste 101
North Charleston, SC 29418
Phone (843) 885-8772

Organizations & group practices 6

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": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1104420280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2114 HIGHWAY 41 STE 104",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294666204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 SAVANNAH HWY",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077207",
            "telephone_number": "843-766-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBASSI",
        "first_name": "LAURA",
        "middle_name": "ROSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-30",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "10471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; 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.