Active NPI
Robert Pennington, DPT
- Physical Therapist
- Charleston, SC
National Provider Identifier
1184072597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6599
- Practice address
- 9285 Medical Plaza Dr
Charleston, SC 29406-9126 - Phone
- (843) 610-5440
- NPI assigned
- May 25, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6599 | SC | Primary |
Addresses
Primary practice location
9285 Medical Plaza Dr
Charleston, SC 29406-9126
Mailing address
1502 Diamond Blvd
Mount Pleasant, SC 29466-7442
Phone (843) 610-5440
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6599 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464134400000",
"number": "1184072597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1502 DIAMOND BLVD",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294667442",
"telephone_number": "843-610-5440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9285 MEDICAL PLAZA DR",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294069126",
"telephone_number": "843-610-5440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENNINGTON",
"first_name": "ROBERT",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-25",
"last_updated": "2016-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "6599",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.