Active NPI
Christine Denise Clyburn, DPT
- Physical Therapist
- Summerville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7589
- Practice address
- 330 E 5TH North St Ste D&E
Summerville, SC 29483-0702 - Phone
- (843) 695-0326
- NPI assigned
- Sep 15, 2017
- Sex
- Female
- 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 | 7589 | SC | Primary |
Addresses
Primary practice location
330 E 5TH North St Ste D&E
Summerville, SC 29483-0702
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (866) 370-8206
Other names 1
- Christine Denise Hollingworth
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Medical University of South Carolina College of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
330 E 5TH N St
Suite Dande
Summerville, SC 29483-0702
Phone (843) 695-0326
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.49 of 100
- Quality
- 89.43
- Improvement activities
- 40
- Cost
- 74.33
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RSFH - Ati Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| RSFH - Ati Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
33299 Collection Ctr Dr
Chicago, IL 60693
9241 University Blvd
Ste B1
North Charleston, SC 29406
Phone (843) 414-1140
5401 Netherby Ln
Ste 300
North Charleston, SC 29420
Phone (843) 225-5211
330 E 5th North St
Ste De
Summerville, SC 29483
Phone (843) 695-0326
Organizations & group practices 2
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 Therapist
- Charleston, SC
- NPI 1912378365
-
- Durable Medical Equipment & Medical Supplies
- North Charleston, SC
- NPI 1689405664
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698796800000",
"number": "1194244681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909",
"telephone_number": "866-370-8206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 E 5TH NORTH ST STE D&E",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294830702",
"telephone_number": "843-695-0326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLYBURN",
"first_name": "CHRISTINE",
"middle_name": "DENISE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-15",
"last_updated": "2023-11-01",
"certification_date": "2023-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "7589",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTINE",
"last_name": "HOLLINGWORTH",
"middle_name": "DENISE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Summerville, SC
- Andrea Clayton, DPT
- Taylor Cleeve
- Caleigh Clements
- Clemson Sports Medicine and Rehabilitation
- Clemson Sports Medicine and Rehabilitation, Inc
- CMJ Concrete LLC
- Jeannie Arlene Coale, LMT, NCTMB
- Coastal Carolina Medical Services LLC
- Coastal Carolina Multispecialty Associates, LLC
- Coastal Carolina Podiatry Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; 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.