Individual provider Active NPI

Andrea R Gunn, P.T.

  • Physical Therapist
  • North Charleston, SC
National Provider Identifier
1154347763
Registry record updated Feb 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3858 Issued in SC
Practice address
2695 Elms Plantation Blvd Ste C
North Charleston, SC 29406-7132
Phone
(843) 974-4097
Fax
(843) 974-4125
NPI assigned
Jul 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2019

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 3858 SC Primary

Addresses

Primary practice location

2695 Elms Plantation Blvd Ste C
North Charleston, SC 29406-7132

Mailing address

440 Unit D Old Trolley Road
Summerville, SC 29485
Phone (843) 871-3522

Other practice location 1

440 Unit D Old Trolley Road
Summerville, SC 29485-8527
Phone (843) 871-3522

Other names 1

  • Andrea Rasner Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060817000604 SC Practitioner - Physical Therapist in Private Practice 5698778348 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Greenville Proaxis Therapy, LLC Physical Therapist CurrentSince Nov 30, 2020 Accepting new patients
Grace Physical Therapy, LLC Physical Therapist CurrentSince Aug 1, 2007 Accepting new patients
Greenville Proaxis Therapy LLC CurrentSince Nov 30, 2020 Accepting new patients
Progressive Physical Therapy, P.a. Physical Therapist Past Accepting new patients
Top Rehab Services, Inc. Physical Therapist Past Accepting new patients

Locations

33205 Collection Ctr Dr
Chicago, IL 60693

103 N Main St
Ste 201
Greenville, SC 29601
Phone (864) 528-5753

440 Old Trolley Rd
Ste D
Summerville, SC 29485
Phone (843) 871-3522

Organizations & group practices 5

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": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549497600000",
    "number": "1154347763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 UNIT D OLD TROLLEY ROAD",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "29485",
            "telephone_number": "843-871-3522",
            "fax_number": "843-871-3523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2695 ELMS PLANTATION BLVD STE C",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294067132",
            "telephone_number": "843-974-4097",
            "fax_number": "843-974-4125"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "440 Unit D Old Trolley Road",
            "address_purpose": "LOCATION",
            "city": "Summerville",
            "state": "SC",
            "postal_code": "294858527",
            "country_code": "US",
            "telephone_number": "843-871-3522",
            "fax_number": "843-871-3523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUNN",
        "first_name": "ANDREA",
        "middle_name": "R",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2019-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "3858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "RASNER",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2019; 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.