Sarah Revis Wyatt, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3915 Issued in SC

Practice address

105 Physicians Park Dr
Clinton, SC 29325-7551

Phone

(864) 938-0111

Fax

(864) 938-0811

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physical Rehabilitation Group LLCGroup PAC ID 4688689581, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sarah.wyatt.1@3723.direct.athenahealth.com

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.

• Physical Rehabilitation Group, LLC

  • Physical Therapist
  • Columbia, SC
  • NPI 1033170550
  Medicare reassignment Care Compare group NPD
• Drayer Physical Therapy-South Carolina, LLC

  • Physical Therapist
  • Columbia, SC
  • NPI 1841622354
  Medicare reassignment NPD
• Drayer Physical Therapy - South Carolina, LLC

  • Physical Therapist
  • Camden, SC
  • NPI 1154816833
  NPD
• Carolina Physical Therapy Services, LLC

  • Physical Therapy Clinic/Center
  • Greenwood, SC
  • NPI 1629155023
  NPD (past)
• Lakelands Orthopaedic Clinic

  • Orthopaedic Surgery Physician
  • Abbeville, SC
  • NPI 1154594786
  NPD (past)
• Lakelands Orthopaedic Clinic PA

  • Orthopaedic Surgery Physician
  • Greenwood, SC
  • NPI 1225122070
  NPD (past)
• Palmetto Bone and Joint

  • Orthopaedic Surgery Physician
  • Newberry, SC
  • NPI 1720295793

  Physical Therapist

  NPD (past)
• Physical Rehabilitation Group

  • Physical Therapist
  • Columbia, SC
  • NPI 1629407606
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586390400000",
    "number": "1184701591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HICKORY ST",
            "city": "CLINTON",
            "state": "SC",
            "postal_code": "293252825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 PHYSICIANS PARK DR",
            "city": "CLINTON",
            "state": "SC",
            "postal_code": "293257551",
            "telephone_number": "864-938-0111",
            "fax_number": "864-938-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYATT",
        "first_name": "SARAH",
        "middle_name": "REVIS",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "3915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosalyn Shantay Wilson
• Samuel Mayhew Wilson, M.D.
• Kimberly J Winters, MSN
• Worley Chiropractic Clinic PA
• Donald B Worley, R.T., B.A., D.C.
• Sheree Wyatt, LMSW
• Terrence Wyatt, LPC
• Deanna Kay Yeldell, RN
• Ronald Oliver Zivitski, PHARMD

• Physical Therapist in Clinton, SC
• Providers in Clinton, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2020; 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.