Organization Active NPI

Pratt Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Ladson, SC
National Provider Identifier
1265800536
Registry record updated Oct 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PRATT PHYSICAL THERAPY, LLC
Practice address
3481 Ladson Rd
Ladson, SC 29456-4300
Phone
(843) 900-0745
Fax
(866) 396-4079
NPI assigned
Sep 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2015

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

Authorized official

Name
Dr. Mary Ashton Pratt, DPTNPI 1366712242
Title
Owner/Director
Phone
(843) 900-0745

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
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

3481 Ladson Rd
Ladson, SC 29456-4300

Mailing address

3481 Ladson Rd
Ladson, SC 29456-4300
Phone (843) 900-0745

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160201000626 SC Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6800190513 Receives reassigned benefits from 3 practitioners
Practice locations: Ladson, SC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1441238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444089600000",
    "number": "1265800536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3481 LADSON RD",
            "city": "LADSON",
            "state": "SC",
            "postal_code": "294564300",
            "telephone_number": "843-900-0745",
            "fax_number": "866-396-4079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3481 LADSON RD",
            "city": "LADSON",
            "state": "SC",
            "postal_code": "294564300",
            "telephone_number": "843-900-0745",
            "fax_number": "866-396-4079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRATT PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-03",
        "last_updated": "2015-10-06",
        "status": "A",
        "authorized_official_last_name": "PRATT",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ASHTON",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "843-900-0745",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ladson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.