Maureen Bernard, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2719 Issued in SC

Practice address

3481 Ladson Rd
Ladson, SC 29456-4300

Phone

(843) 900-0745

Fax

(866) 396-4079

NPI assigned

May 22, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Ih3 Physcial Therapy

  • Physical Therapy Clinic/Center
  • Lake City, SC
  • NPI 1104145697
  NPD (past)
• Pro-Motion Physical Therapy of Florence, SC, LLC

  • Physical Therapist
  • Lake City, SC
  • NPI 1821474115
  NPD (past)

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

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400716800000",
    "number": "1306258579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 B SAULS STREET",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "29560",
            "telephone_number": "843-374-0185",
            "fax_number": "843-374-0189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3481 LADSON RD",
            "city": "LADSON",
            "state": "SC",
            "postal_code": "294564300",
            "telephone_number": "843-900-0745",
            "fax_number": "866-396-4079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNARD",
        "first_name": "MAUREEN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-22",
        "last_updated": "2014-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "SC",
            "license": "2719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "2719",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaleigh Marie Baughn
• Kiara Baylock, DNP, APRN, FNP-BC
• Eva Louise Beale, SLP-CFY
• Mary Katherine Beech, D.C.
• Berkeley County School District
• Megan Noel Biehl, OTR/L
• Adie Bjerkness, OTR/L
• Blend Integrative Therapy & Wellness
• Ann Marie Blevins, MHSOTR/L
• Alexandra Jayne Boswell, OTR/L

• All providers in Ladson, SC
• Physical Therapy Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.