Individual provider Active NPI

James Tobin

  • Physical Therapist
  • Mt Pleasant, SC
National Provider Identifier
1245829779
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10244 Issued in SC
Practice address
3040 Highway 17 Byp N Ste a
Mt Pleasant, SC 29466-9438
Phone
(843) 388-7667
Fax
(843) 388-7877
NPI assigned
Jan 11, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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 10244 SC Primary

Addresses

Primary practice location

3040 Highway 17 Byp N Ste a
Mt Pleasant, SC 29466-9438

Mailing address

141 Atrium Way
Columbia, SC 29223-6301
Phone (843) 388-7667

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210202002407 SC Practitioner - Physical Therapist in Private Practice 4486068426 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Personal PerformanceGroup PAC ID 3870902422, 3 clinicians

Practice addresses (Care Compare)

1113 Bowman Rd
Suite 100
Mt Pleasant, SC 29464-3220
Phone (843) 225-0774

1113 Bowman Rd
Suite 100
Mt Pleasant, SC 29464-5447

1398 Cassidy CT
Unit a
Mount Pleasant, SC 29464-4647

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10244SCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Performance Physical Therapist CurrentSince Jan 1, 2021 Accepting new patients
McClellanville Physical Therapy, LLC Physical Therapist CurrentSince Nov 19, 2024 Accepting new patients
Carolina Physical Therapy and Sports Medicine, Inc. CurrentSince Jan 4, 2021 Accepting new patients

Locations

141 Atrium Way
Columbia, SC 29223
Phone (803) 788-8484

829 Pinckney St
Mc Clellanville, SC 29458
Phone (803) 315-5585

3040 N Highway 17
Ste A
Mt Pleasant, SC 29466
Phone (843) 388-7667

1113 Bowman Rd
Ste 100
Mt Pleasant, SC 29464
Phone (843) 225-0774

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1610323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1245829779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 ATRIUM WAY",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292236301",
            "telephone_number": "843-388-7667",
            "fax_number": "843-388-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040 HIGHWAY 17 BYP N STE A",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294669438",
            "telephone_number": "843-388-7667",
            "fax_number": "843-388-7877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOBIN",
        "first_name": "JAMES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-11",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "10244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; 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.