Individual provider Active NPI

John Mart

  • Physical Therapist
  • Mount Pleasant, SC
National Provider Identifier
1144255167
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1094 Issued in SC
Practice address
3301 Stockdale St
Mount Pleasant, SC 29466-7125
Phone
(843) 375-5488
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1094 SC Primary

Addresses

Primary practice location

3301 Stockdale St
Mount Pleasant, SC 29466-7125

Mailing address

4 Seagrass LN
Isle of Palms, SC 29451-2838

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051019000927 SC Practitioner - Physical Therapist in Private Practice 2668498601 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imagine Physical Therapy LLCGroup PAC ID 6406860311, 2 clinicians
Imagine Physical Therapy Old Village LLCGroup PAC ID 4587972450, 3 clinicians
Imagine Physical Therapy North Rhett LLCGroup PAC ID 4082939723, 2 clinicians

Practice addresses (Care Compare)

1125 Landau LN
Mount Pleasant, SC 29466-7300
Phone (843) 375-5448

1304 Erckmann Dr
Suite C
Mt Pleasant, SC 29464-5536
Phone (843) 971-7668

5111 N Rhett Ave
North Charleston, SC 29405-4219
Phone (843) 352-4952

Merit-based Incentive Payment System (MIPS)

Final score
95 of 100Reported as individual
Quality
90
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1094SCMDSports Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Imagine Physical Therapy Old Village LLC Physical Therapist CurrentSince Jun 18, 2015 Accepting new patients
Imagine Physical Therapy LLC Physical Therapist CurrentSince Jan 1, 2006 Accepting new patients
Imagine Physical Therapy in West Ashley, LLC Physical Therapist CurrentSince Jul 1, 2015 Accepting new patients
Imagine Physical Therapy North Rhett LLC Physical Therapist CurrentSince Dec 1, 2014 Accepting new patients
Imagine Physical Therapy on Daniel Island LLC Physical Therapist CurrentSince Sep 15, 2014 Accepting new patients
Love of Language PastSince May 8, 2018 Accepting new patients
Sports Spine & Industrial, Inc. Physical Therapist PastSince Jun 3, 2002 Accepting new patients
Elite Integrated Therapy Centers, LLC Physical Therapist PastSince Nov 1, 2021 Accepting new patients

Locations

142 Sportsman Island Dr
Ste F
Charleston, SC 29492
Phone (843) 377-8820

2267 Ashley River Rd
Charleston, SC 29414
Phone (843) 576-4121

1304 Erckmann Dr
Ste C
Mt Pleasant, SC 29464
Phone (843) 804-9479

5111 N Rhett Ave
North Charleston, SC 29405
Phone (843) 352-4952

Organizations & group practices 8

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144255167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 SEAGRASS LN",
            "city": "ISLE OF PALMS",
            "state": "SC",
            "postal_code": "294512838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 STOCKDALE ST",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294667125",
            "telephone_number": "843-375-5488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MART",
        "first_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "1094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 8, 2007; 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.