Individual provider Active NPI

Maurya Applegate, PT

  • Physical Therapist
  • Fort Mill, SC
National Provider Identifier
1164422960
Registry record updated Aug 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8618 Issued in SC
Practice address
7580 Charlotte Hwy Ste 1100
Fort Mill, SC 29707-7803
Phone
(813) 777-6281
NPI assigned
Jul 22, 2005
Last updated
Aug 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 8618 SC Primary
Physical Therapist 225100000X P16191 NC

Addresses

Primary practice location

7580 Charlotte Hwy Ste 1100
Fort Mill, SC 29707-7803

Mailing address

2145 Flicker Rd
Indian Land, SC 29707-6217
Phone (813) 777-6281

Other identifiers 1

IdentifierTypeStateIssuer
O00659064OtherFLMEDICARE RAILROAD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260325004116 SC Practitioner - Physical Therapist in Private Practice 1254349350 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Breakthrough SC LLCGroup PAC ID 1557606878, 8 clinicians

Practice addresses (Care Compare)

7580 Charlotte Hwy
Suite 1100
Fort Mill, SC 29707-7803
Phone (803) 548-5662

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8618SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Your Life Wellness and Physical Therapy CurrentSince Mar 11, 2026 Accepting new patients
Breakthrough SC LLC Physical Therapist CurrentSince Mar 11, 2026 Accepting new patients

Locations

7580 Charlotte Hwy
Ste 1100
Indian Land, SC 29707
Phone (803) 548-5662

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787443200000",
    "number": "1164422960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2145 FLICKER RD",
            "city": "INDIAN LAND",
            "state": "SC",
            "postal_code": "297076217",
            "telephone_number": "813-777-6281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7580 CHARLOTTE HWY STE 1100",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297077803",
            "telephone_number": "813-777-6281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APPLEGATE",
        "first_name": "MAURYA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-22",
        "last_updated": "2026-08-23",
        "certification_date": "2026-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "8618",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P16191",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "O00659064",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Mill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2026; 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.