Individual provider Active NPI

Shirlie B Perrone, PT

  • Physical Therapist
  • Mount Pleasant, SC
National Provider Identifier
1104923903
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5065 Issued in SC
Practice address
912 Johnnie Dodds Blvd Ste 100
Mount Pleasant, SC 29464-3105
Phone
(843) 352-2464
Fax
(843) 793-3786
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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 5065 SC Primary

Addresses

Primary practice location

912 Johnnie Dodds Blvd Ste 100
Mount Pleasant, SC 29464-3105

Mailing address

209 Saint James Ave Ste 2B
Goose Creek, SC 29445-2998
Phone (843) 793-4466

Other practice location 1

209 Saint James Ave Ste 2B
Goose Creek, SC 29445-2998
Phone (843) 793-4466

Other practice location 2

2270 Ashley Crossing Dr Ste 150
Charleston, SC 29414-5702
Phone (843) 818-4886

Other names 1

  • Miss Shirlie B Sidhwaney Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250709000143 SC Practitioner - Physical Therapist in Private Practice 5597759209 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Joints in Motion Physical Therapy and Wellness, LLCGroup PAC ID 1951588011, 5 clinicians

Practice addresses (Care Compare)

912 Johnnie Dodds Blvd
Suite 100
Mount Pleasant, SC 29464-3105
Phone (843) 352-2464

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5065SCMDChiropractor
20375MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Joints in Motion Physical Therapy and Wellness, LLC Physical Therapist CurrentSince Apr 24, 2025 Accepting new patients
Baltimore Work Rehabilitation Past Accepting new patients
Free State Physical Therapy, LLC PastSince May 23, 2012 Accepting new patients

Locations

2270 Ashley Crossing Dr
Ste 150
Charleston, SC 29414
Phone (843) 766-1936

209 Saint James Ave
Ste 2B
Goose Creek, SC 29445
Phone (843) 793-4466

912 Johnnie Dodds Blvd
#100
Mount Pleasant, SC 29464
Phone (843) 352-2464

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1104923903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 SAINT JAMES AVE STE 2B",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294452998",
            "telephone_number": "843-793-4466",
            "fax_number": "843-793-3786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 JOHNNIE DODDS BLVD STE 100",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643105",
            "telephone_number": "843-352-2464",
            "fax_number": "843-793-3786"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "209 Saint James Ave Ste 2B",
            "address_purpose": "LOCATION",
            "city": "Goose Creek",
            "state": "SC",
            "postal_code": "294452998",
            "country_code": "US",
            "telephone_number": "843-793-4466",
            "fax_number": "843-793-3786",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2270 Ashley Crossing Dr Ste 150",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294145702",
            "country_code": "US",
            "telephone_number": "843-818-4886",
            "fax_number": "843-793-3786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERRONE",
        "first_name": "SHIRLIE",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "5065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHIRLIE",
            "last_name": "SIDHWANEY",
            "middle_name": "B",
            "prefix": "MISS",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.