David Fries, DPT
Individual provider Active NPI Physical Therapist · Daniel Island, SC
NPI 1295559219 · NPPES record last updated Nov 25, 2024
Key facts
- NPI
- 1295559219
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 12630 (SC)
- Practice address
- 900 Island Park Dr Ste 108
Daniel Island, SC 29492-7560 - Phone
- (843) 284-5285
- NPI assigned
- Nov 15, 2024
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- RSFH - Ati Physical Therapy LLC
Practice addresses (Care Compare)
900 Island Park Dr
Suite 108
Daniel Island, SC 29492-7559
Phone (843) 284-5285
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250131000019 | SC | Practitioner - Physical Therapist in Private Practice | 1355870619 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
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
33299 Collection Ctr Dr
Chicago, IL 60693
2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515
900 Island Park Dr
Ste 108
Daniel Island, SC 29492
Phone (843) 284-5285
405 Faison Rd
Ste 105
Mount Pleasant, SC 29466
Phone (843) 352-2935
586 Lone Tree Dr
Mt Pleasant, SC 29464
Phone (843) 884-7880
9241 University Blvd
Ste B1
North Charleston, SC 29406
Phone (843) 414-1140
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 12630 | SC | Yes |
Addresses
Primary practice location
900 Island Park Dr Ste 108
Daniel Island, SC 29492-7560
Mailing address
2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211
Phone (866) 370-8206
Other providers in Daniel Island, SC
- Katelin Ann Findling
- Courtenay Fisher
- Janine Flanagan Kokko
- Martha M. Fletcher
- Focuscare Logistics LLC
- Raquel Fuller
- Gable Runn DME LLC
- Yves Gege
- Mary Beth Georgiades
- Alexa Marie Gerham
All providers in Daniel Island, SC · Physical Therapist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.