Individual provider Active NPI

David H Erwin, MSPT

  • Physical Therapist
  • Marion, SC
National Provider Identifier
1295800092
Registry record updated Apr 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
SC4233 Issued in SC
Practice address
110 Palmetto Pointe Rd
Marion, SC 29571-6722
Phone
(843) 423-4474
Fax
(843) 423-4478
NPI assigned
Nov 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 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 SC4233 SC Primary

Addresses

Primary practice location

110 Palmetto Pointe Rd
Marion, SC 29571-6722

Mailing address

108 E Bobby Gerald Pkwy
Marion, SC 29571-3048
Phone (843) 423-4474

Other identifiers 2

IdentifierTypeStateIssuer
TH1173MedicaidSC
SC4233OtherSCSTATE LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031114000070 SC Practitioner - Physical Therapist in Private Practice 1456265453 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, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

108 E Bobby Gerald Pkwy
Marion, SC 29571-3048
Phone (843) 423-4474

364 Laughlin Rd
Marion, SC 29571-7404

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC4233SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Marion Physical Therapy, LLC CurrentSince Aug 22, 2007 Accepting new patients

Locations

110 Palmetto Pointe Rd
Marion, SC 29571
Phone (843) 423-4474

108 E Bobby Gerald Pkwy
Marion, SC 29571
Phone (843) 423-4474

Organizations & group practices 1

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": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586736000000",
    "number": "1295800092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 E BOBBY GERALD PKWY",
            "city": "MARION",
            "state": "SC",
            "postal_code": "295713048",
            "telephone_number": "843-423-4474",
            "fax_number": "843-423-4478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 PALMETTO POINTE RD",
            "city": "MARION",
            "state": "SC",
            "postal_code": "295716722",
            "telephone_number": "843-423-4474",
            "fax_number": "843-423-4478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERWIN",
        "first_name": "DAVID",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "SC4233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TH1173",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "SC4233",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.