Imagine Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

IMAGINE PHYSICAL THERAPY

Practice address

615 Wesley Dr
Suite 110
Charleston, SC 29407-7204

Phone

(843) 554-2323

Fax

(843) 763-8124

NPI assigned

Apr 9, 2014

Organization subpart

Yes

Parent organization

IMAGINE PHYSICAL THERAPYAs reported in NPPES

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

Authorized official

Name

Mr. John A Mart, PT

Title

Owner

Phone

(843) 375-5448

Specialties & licenses 1

Addresses

Other names 1

• Imagine Physical Therapy, Wesley Drive Other name

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Imagine Physical Therapy LLC

  • Physical Therapist
  • Mt Pleasant, SC
  • NPI 1245241041

  O20060131000246

  Same enrollment

Part of

Imagine Physical Therapy LLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Imagine Physical Therapy LLC

  • Physical Therapist
  • Mt Pleasant, SC
  • NPI 1245241041
  NPPES parent name

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Aliece Wilson Christopher, PT

  • Physical Therapist
  • Daniel Island, SC
  • NPI 1598161259
  NPD
• Aaron Hennigan, DPT

  • Physical Therapist
  • Mount Pleasant, SC
  • NPI 1891288205
  NPD
• Emily Sligh, DPT

  • Physical Therapist
  • Mt Pleasant, SC
  • NPI 1962141432
  NPD
• Collin T Weyer, DPT

  • Physical Therapist
  • Mt. Pleasant, SC
  • NPI 1801324181
  NPD
• Britta Anderson, DPT

  • Physical Therapist
  • Matthews, NC
  • NPI 1396125613
  NPD

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

{
    "created_epoch": "1397001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397001600000",
    "number": "1326467176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 STOCKDALE ST",
            "address_2": "SUITE B",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294667125",
            "telephone_number": "843-375-5448",
            "fax_number": "843-628-6624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 WESLEY DR",
            "address_2": "SUITE 110",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077204",
            "telephone_number": "843-554-2323",
            "fax_number": "843-763-8124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGINE PHYSICAL THERAPY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IMAGINE PHYSICAL THERAPY",
        "enumeration_date": "2014-04-09",
        "last_updated": "2014-04-09",
        "status": "A",
        "authorized_official_last_name": "MART",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-375-5448",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Imagine Physical Therapy, Wesley Drive",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Malorie Igo, LPC-A
• Rachel Kelly Ikert, CRNA
• Emily Ilderton
• Karen Abby Ilgen
• Romina Gil Ilic, M.D.
• Imagine Physical Therapy in West Ashley, LLC
• Imagine Physical Therapy on Daniel Island LLC
• Michelle Marie Imlay, PMHNP-BC
• In Home, LLC
• In Step LLC

• Physical Therapy Clinic/Center in Charleston, SC
• Providers in Charleston, SC by specialty
• Physical Therapy Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.