Individual provider Active NPI

Marydith Springs, PT

  • Physical Therapist
  • Columbia, SC
National Provider Identifier
1295771004
Registry record updated May 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4715 Issued in SC
Practice address
110 Highland Center Dr
Columbia, SC 29203-9247
Phone
(803) 408-3277
Fax
(803) 408-3299
NPI assigned
Jun 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 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 4715 SC Primary

Addresses

Primary practice location

110 Highland Center Dr
Columbia, SC 29203-9247

Mailing address

1730B Savannah Hwy
Charleston, SC 29407-6255
Phone (843) 763-4115

Other identifiers 1

IdentifierTypeStateIssuer
TH1535MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address SCENT@allmedsdirectmail.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190205000476 SC Practitioner - Physical Therapist in Private Practice 6204174907 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Medical University of South Carolina College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Carolina ENT Allergy and Sleep Medicine PAGroup PAC ID 0840214748, 24 clinicians

Practice addresses (Care Compare)

110 Highland Ctr Dr
Columbia, SC 29203-9247
Phone (803) 736-3277

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4715SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
South Carolina ENT Allergy & Sleep Medicine PA Physical Therapist CurrentSince Jan 14, 2019 Accepting new patients
Charleston Physical Therapy Practice PA Past Accepting new patients

Locations

110 Highland Center Dr
Ste 100
Columbia, SC 29203

110 Highland Center Dr
Columbia, SC 29203
Phone (803) 274-1148

15 Exchange Dr
Lugoff, SC 29078
Phone (803) 424-2207

Interoperability endpoints

  • Direct secure messaging: scent@allmedsdirectmail.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590451200000",
    "number": "1295771004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730B SAVANNAH HWY",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294076255",
            "telephone_number": "843-763-4115",
            "fax_number": "843-766-3240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HIGHLAND CENTER DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292039247",
            "telephone_number": "803-408-3277",
            "fax_number": "803-408-3299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRINGS",
        "first_name": "MARYDITH",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "4715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TH1535",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SCENT@allmedsdirectmail.com",
            "affiliation": "N",
            "address_1": "110 Highland Center Dr",
            "city": "Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "292039247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.