Individual provider Active NPI

Allison Brooks Roberts, PT, MSR

  • Physical Therapist
  • Mount Pleasant, SC
National Provider Identifier
1215122189
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4930 Issued in SC
Practice address
401 Seacoast Pkwy Unit D
Mount Pleasant, SC 29464-8263
Phone
(843) 969-2201
Fax
(843) 969-2202
NPI assigned
Sep 12, 2007
Last updated
Mar 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4930 SC Primary

Addresses

Primary practice location

401 Seacoast Pkwy Unit D
Mount Pleasant, SC 29464-8263

Mailing address

401 Seacoast Pkwy Unit D
Mount Pleasant, SC 29464-8263
Phone (843) 969-2201

Other names 1

  • Allison Brooks Haygood Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110811000057 SC Practitioner - Physical Therapist in Private Practice 4486823309 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Balance Physical Therapy and WellnessGroup PAC ID 1557727724, 2 clinicians

Practice addresses (Care Compare)

401 Seacoast Pkwy
Unit D
Mount Pleasant, SC 29464-8263
Phone (843) 969-2201

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4930SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Berkeley Rehabilitation, LLC Physical Therapist CurrentSince Aug 30, 2021 Accepting new patients
Balance Physical Therapy and Wellness Physical Therapist CurrentSince Apr 3, 2023 Accepting new patients

Locations

1954 Ashley River Rd
Ste E
Charleston, SC 29407
Phone (843) 751-1480

401 Seacoast Pkwy
Unit D
Mount Pleasant, SC 29464
Phone (843) 969-2201

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1215122189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 SEACOAST PKWY UNIT D",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294648263",
            "telephone_number": "843-969-2201",
            "fax_number": "843-969-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 SEACOAST PKWY UNIT D",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294648263",
            "telephone_number": "843-969-2201",
            "fax_number": "843-969-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "ALLISON",
        "middle_name": "BROOKS",
        "credential": "PT, MSR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-12",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "4930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLISON",
            "last_name": "HAYGOOD",
            "middle_name": "BROOKS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.

Verify at the official NPI Registry.