Active NPI
Rachel Marie Gmach, PT
- Physical Therapist
- Indian Land, SC
National Provider Identifier
1124451034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7967
- Practice address
- 7580 Charlotte Hwy
Suite 1100
Indian Land, SC 29707-7801 - Phone
- (803) 548-5662
- Fax
- (803) 548-5635
- NPI assigned
- Aug 14, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT14781 | NC | |
| Physical Therapist | 225100000X | 7967 | SC | Primary |
Addresses
Primary practice location
7580 Charlotte Hwy
Suite 1100
Indian Land, SC 29707-7801
Mailing address
8613 Tamarron Dr
Charlotte, NC 28277-1854
Other names 1
- Rachel Marie Krohn
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT14781 | NC | MD | Physical Therapist |
| 7967 | SC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666051200000",
"number": "1124451034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8613 TAMARRON DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282771854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7580 CHARLOTTE HWY",
"address_2": "SUITE 1100",
"city": "INDIAN LAND",
"state": "SC",
"postal_code": "297077801",
"telephone_number": "803-548-5662",
"fax_number": "803-548-5635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GMACH",
"first_name": "RACHEL",
"middle_name": "MARIE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-14",
"last_updated": "2022-10-18",
"certification_date": "2022-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "PT14781",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "7967",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RACHEL",
"last_name": "KROHN",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Indian Land, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.