Individual provider Active NPI

Jessica F. Walters, MS, PT

  • Physical Therapist
  • Mount Pleasant, SC
National Provider Identifier
1326172503
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3054 Issued in SC
Practice address
1885 Rifle Range Road
Mount Pleasant, SC 29464
Phone
(843) 856-4724
Fax
(843) 856-5036
NPI assigned
Mar 16, 2007
Last updated
Jun 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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 3054 SC Primary

Addresses

Primary practice location

1885 Rifle Range Road
Mount Pleasant, SC 29464

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190313000558 SC Practitioner - Physical Therapist in Private Practice 9234493784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RSFH - Ati Physical Therapy LLCGroup PAC ID 3375849946, 98 clinicians

Practice addresses (Care Compare)

325 Folly Rd
Suite 107
Charleston, SC 29412-2507
Phone (843) 762-0147

Merit-based Incentive Payment System (MIPS)

Final score
86.49 of 100Reported as group
Quality
89.43
Improvement activities
40
Cost
74.33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
3054SCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
RSFH - Ati Physical Therapy, LLC Physical Therapist CurrentSince Sep 1, 2019 Accepting new patients
RSFH - Ati Physical Therapy, LLC Physical Therapist CurrentSince Sep 1, 2019 Accepting new patients
Rehabilitation Centers of Charleston Physical Therapist Past Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

33299 Collection Ctr Dr
Chicago, IL 60693

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

1941 Savage Rd
Ste 300A
Charleston, SC 29407
Phone (843) 402-1495

325 Folly Rd
Ste 107
Charleston, SC 29412
Phone (843) 762-0147

5400 International Blvd
Bldg 8821
Charleston, SC 29418
Phone (843) 763-4115

900 Island Park Dr
Ste 108
Daniel Island, SC 29492
Phone (843) 284-5285

116 Foxbank Plantation Blvd
Ste E
Moncks Corner, SC 29461
Phone (843) 761-4622

405 Faison Rd
Ste 105
Mount Pleasant, SC 29466
Phone (843) 352-2935

180 Wingo Way
Ste 303
Mt Pleasant, SC 29464
Phone (843) 972-0940

1909 N Highway 17
Ste Q
Mt Pleasant, SC 29464
Phone (843) 416-9026

586 Lone Tree Dr
Mt Pleasant, SC 29464
Phone (843) 884-7880

910 Johnnie Dodds Blvd
Ste 140
Mt Pleasant, SC 29464
Phone (843) 972-0940

2070 Northbrook Blvd
Ste A9
North Charleston, SC 29406
Phone (843) 377-0268

5401 Netherby Ln
Ste 300
North Charleston, SC 29420
Phone (843) 225-5211

8950 University Blvd
Ste 200A
North Charleston, SC 29406
Phone (843) 414-1140

9241 University Blvd
Ste A
North Charleston, SC 29406
Phone (843) 414-1140

9241 University Blvd
Ste B1
North Charleston, SC 29406
Phone (843) 414-1140

10040 Dorchester Rd
Ste 106107
Summerville, SC 29485
Phone (843) 875-4770

1718 State Rd
Ste 7D
Summerville, SC 29486
Phone (843) 303-9418

330 E 5th North St
Ste De
Summerville, SC 29483
Phone (843) 695-0326

606 Nexton Square Dr
Ste 304
Summerville, SC 29486
Phone (843) 376-5963

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1326172503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1885 RIFLE RANGE ROAD",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "29464",
            "telephone_number": "843-856-4724",
            "fax_number": "843-856-5036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "JESSICA",
        "middle_name": "F.",
        "credential": "MS, PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "3054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.

Verify at the official NPI Registry.