Individual provider Active NPI

Celise M Zbytovsky, PT

  • Physical Therapist
  • West Columbia, SC
National Provider Identifier
1275643504
Registry record updated Nov 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4171 Issued in SC
Practice address
110 Medical Cir Ste B
West Columbia, SC 29169-3642
Phone
(803) 445-1009
Fax
(803) 445-1017
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2020

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 4171 SC Primary

Addresses

Primary practice location

110 Medical Cir Ste B
West Columbia, SC 29169-3642

Mailing address

130 Hunter Village Dr Ste B
Irmo, SC 29063-8345
Phone (803) 445-2941

Other practice location 1

130 Hunter Village Dr Ste B
Irmo, SC 29063-8345
Phone (803) 445-2941

Other practice location 2

7035 Saint Andrews Rd
Columbia, SC 29212-1177
Phone (803) 749-0924

Other names 1

  • Celise Miller Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address czbytovsky6814@direct.lexmed.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070226000259 SC Practitioner - Physical Therapist in Private Practice 8123120912 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Warren Rehab Group LLCGroup PAC ID 1254614043, 2 clinicians

Practice addresses (Care Compare)

7430 College St
Irmo, SC 29063-2903
Phone (803) 445-2941

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4171SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington Health Inc Current Accepting new patients
Carolina Physical Therapy and Sports Medicine Limited Partnership Physical Therapist CurrentSince Apr 1, 2025 Accepting new patients
Ballentine Rehabilitation & Wellness Physical Therapist Past Accepting new patients
Dosher Physical Therapy Associates Inc Physical Therapist Past Accepting new patients

Locations

319 Village Square Dr
Leesville, SC 29070
Phone (803) 317-6159

811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230

Organizations & group practices 5

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1275643504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 HUNTER VILLAGE DR STE B",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290638345",
            "telephone_number": "803-445-2941",
            "fax_number": "803-724-6830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MEDICAL CIR STE B",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291693642",
            "telephone_number": "803-445-1009",
            "fax_number": "803-445-1017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 Hunter Village Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Irmo",
            "state": "SC",
            "postal_code": "290638345",
            "country_code": "US",
            "telephone_number": "803-445-2941",
            "fax_number": "803-724-6830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7035 Saint Andrews Rd",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292121177",
            "country_code": "US",
            "telephone_number": "803-749-0924",
            "fax_number": "803-407-4101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZBYTOVSKY",
        "first_name": "CELISE",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "4171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "czbytovsky6814@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "811 W Main St",
            "city": "Lexington",
            "state": "SC",
            "country_code": "US",
            "postal_code": "290722507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CELISE",
            "last_name": "MILLER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; 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.