Organization Active NPI

Walterboro Physical Therapy Works LLC

  • Orthopedic Physical Therapist
  • Walterboro, SC
National Provider Identifier
1184828980
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
SC4348 Issued in SC
Legal business name
WALTERBORO PHYSICAL THERAPY WORKS LLC
Practice address
743 Bells Hwy
Walterboro, SC 29488-2707
Phone
(843) 549-6487
NPI assigned
Jun 14, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Walter R Pangalangan, MSPTNPI 1720020183
Title
Physical Therapist Owner
Phone
(843) 549-6487

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
Orthopedic Physical Therapist 2251X0800X SC4348 SC Primary

Addresses

Primary practice location

743 Bells Hwy
Walterboro, SC 29488-2707

Mailing address

743 Bells Hwy
Walterboro, SC 29488-2707

Other identifiers 2

IdentifierTypeStateIssuer
1720020183OtherSCNPI
TH1626MedicaidSC

National Provider Directory

National Provider Directory

Locations

743 Bells Hwy
Walterboro, SC 29488
Phone (843) 538-2429

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184828980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "743 BELLS HWY",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294882707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 BELLS HWY",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294882707",
            "telephone_number": "843-549-6487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTERBORO PHYSICAL THERAPY WORKS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PANGALANGAN",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST OWNER",
        "authorized_official_telephone_number": "843-549-6487",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "SC",
            "license": "SC4348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1720020183",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TH1626",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Walterboro, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.