Active NPI
David Fries, DPT
- Physical Therapist
- Daniel Island, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12630
- Practice address
- 900 Island Park Dr Ste 108
Daniel Island, SC 29492-7560 - Phone
- (843) 284-5285
- NPI assigned
- Nov 15, 2024
- Last updated
- Nov 25, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 12630 | SC | Primary |
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
900 Island Park Dr
Suite 108
Daniel Island, SC 29492-7559
Phone (843) 284-5285
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12630 | SC | MD | Physical Therapist |
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
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.
-
- Physical Therapist
- Charleston, SC
- NPI 1912378365
-
dba Ati Physical Therapy
- Durable Medical Equipment & Medical Supplies
- North Charleston, SC
- NPI 1689405664
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732492800000",
"number": "1295559219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 BUTTERFIELD RD STE 1600",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605151211",
"telephone_number": "866-370-8206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 ISLAND PARK DR STE 108",
"city": "DANIEL ISLAND",
"state": "SC",
"postal_code": "294927560",
"telephone_number": "843-284-5285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIES",
"first_name": "DAVID",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-11-15",
"last_updated": "2024-11-25",
"certification_date": "2024-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "12630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Daniel Island, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; 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.