Organization Active NPI

Therx Physical Therapy & Pain Management

  • Physical Therapy Clinic/Center
  • Irmo, SC
National Provider Identifier
1164891867
Registry record updated Sep 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
THERX PHYSICAL THERAPY & PAIN MANAGEMENT
Practice address
800 Columbiana Dr
Irmo, SC 29063-7213
Phone
(843) 687-2406
NPI assigned
Sep 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2015

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

Authorized official

Name
Dr. Ashley Baggett, MHS, DPTNPI 1770755522
Title
Doctor of Physical Therapy/Director
Phone
(843) 687-2406

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

800 Columbiana Dr
Irmo, SC 29063-7213

Mailing address

116 Old Sawmill TRL
Chapin, SC 29036-9336
Phone (843) 687-2406

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160217000162 SC Part B Supplier - Clinic/Group Practice 4284939042 Receives reassigned benefits from 2 practitioners
Practice locations: Irmo, SC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442966400000",
    "number": "1164891867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 OLD SAWMILL TRL",
            "city": "CHAPIN",
            "state": "SC",
            "postal_code": "290369336",
            "telephone_number": "843-687-2406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 COLUMBIANA DR",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290637213",
            "telephone_number": "843-687-2406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERX PHYSICAL THERAPY & PAIN MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-23",
        "last_updated": "2015-09-23",
        "status": "A",
        "authorized_official_last_name": "BAGGETT",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY/DIRECTOR",
        "authorized_official_telephone_number": "843-687-2406",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MHS, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irmo, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; 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.