Organization Active NPI

Carrie B. Benton, LLC

Doing business as Lowcountry Rehab

  • Physical Therapy Clinic/Center
  • Hampton, SC
National Provider Identifier
1154032753
Registry record updated Feb 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
CARRIE B. BENTON, LLC
Doing business as
Lowcountry Rehab
Practice address
103 Third Street
Hampton, SC 29924
Phone
(803) 943-3914
Fax
(803) 943-5131
NPI assigned
Dec 6, 2022
Last updated
Feb 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Carrie Bess Benton, PTANPI 1194435594
Title
Owner/Physical Therapist Assistant
Phone
(803) 943-3914

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

103 Third Street
Hampton, SC 29924

Mailing address

103 3Rd St E
Hampton, SC 29924-2511
Phone (803) 943-3914

Other names 1

  • Lowcountry Rehab Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230120002220 SC Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7719358266 Receives reassigned benefits from 2 practitioners
Practice locations: Hampton, SC

National Provider Directory

National Provider Directory

Locations

103 3rd St E
Hampton, SC 29924
Phone (803) 943-3419

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1670284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675382400000",
    "number": "1154032753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 3RD ST E",
            "city": "HAMPTON",
            "state": "SC",
            "postal_code": "299242511",
            "telephone_number": "803-943-3914",
            "fax_number": "803-943-5131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 THIRD STREET",
            "city": "HAMPTON",
            "state": "SC",
            "postal_code": "29924",
            "telephone_number": "803-943-3914",
            "fax_number": "803-943-5131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARRIE B. BENTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-06",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A",
        "authorized_official_last_name": "BENTON",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "BESS",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST ASSISTANT",
        "authorized_official_telephone_number": "803-943-3914",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lowcountry Rehab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lowcountry Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hampton, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.