Individual provider Active NPI

Sherman Leon Roberts Jr., PT, DPT

  • Physical Therapist
  • Columbia, SC
National Provider Identifier
1184055147
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7229 Issued in SC
Practice address
1519 Taylor St
Columbia, SC 29201-2918
Phone
(803) 779-8327
Fax
(803) 799-3603
NPI assigned
Dec 2, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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 7229 SC Primary
Physical Therapist 225100000X P19818 NC

Addresses

Primary practice location

1519 Taylor St
Columbia, SC 29201-2918

Mailing address

PO Box 629
Mauldin, SC 29662-0629
Phone (803) 779-8327

Other identifiers 2

IdentifierTypeStateIssuer
7229OtherSCSC BOARD OF PT EXAMINERS
P19818OtherNCNC BOARD OF PHYSICAL THERAPY EXAMINERS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160509002010 SC Practitioner - Physical Therapist in Private Practice 3173822459 Reassigns benefits to 3 organizations
I20210419002107 NC Practitioner - Physical Therapist in Private Practice 3173822459 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

120 Sparkleberry Crossing Rd
Suite 1B
Columbia, SC 29229-8626
Phone (803) 667-9432

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy - South Carolina, LLC Physical Therapist CurrentSince Oct 22, 2020 Accepting new patients
Benchmark Healthcare Services, LLC Physical Therapist CurrentSince Mar 1, 2021 Accepting new patients
Benchmark Health Services Physical Therapist CurrentSince Mar 1, 2021 Accepting new patients
Drayer Physical Therapy-South Carolina, LLC Physical Therapist CurrentSince Oct 22, 2020 Accepting new patients
Benchmark Physical Therapy of NC, LLC Physical Therapist CurrentSince Apr 5, 2021 Accepting new patients
Charlotte One More Go Physical Therapy & Wellness LLC CurrentSince Apr 1, 2024 Accepting new patients
Benchmark Physical Therapy of North Carolina LLC Physical Therapist CurrentSince Apr 5, 2021 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

10012 Benfield Rd
Ste 305
Charlotte, NC 28269
Phone (704) 274-9133

10020 Monroe Rd
Ste 160
Matthews, NC 28105
Phone (704) 841-0894

131 Evergreen Rd
Ste 105
Clover, SC 29710
Phone (803) 810-6012

3250 Harden Street Ext
Ste 100
Columbia, SC 29203
Phone (803) 509-6389

120 Sparkleberry Crossing Rd
Ste 1B
Columbia, SC 29229
Phone (803) 667-9432

1000 Tanner Ford Blvd
Ste 370
Hanahan, SC 29410
Phone (843) 718-1058

7585 Saint Andrews Rd
Irmo, SC 29063
Phone (803) 749-5031

Organizations & group practices 7

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": "1385942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1184055147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 629",
            "city": "MAULDIN",
            "state": "SC",
            "postal_code": "296620629",
            "telephone_number": "803-779-8327",
            "fax_number": "803-799-3603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 TAYLOR ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012918",
            "telephone_number": "803-779-8327",
            "fax_number": "803-799-3603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "SHERMAN",
        "middle_name": "LEON",
        "name_suffix": "Jr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-12-02",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "7229",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P19818",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC BOARD OF PT EXAMINERS",
            "identifier": "7229",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC BOARD OF PHYSICAL THERAPY EXAMINERS",
            "identifier": "P19818",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.