Individual provider Active NPI

Melissa Lee Wagner, PT

  • Physical Therapist
  • Columbia, SC
National Provider Identifier
1336210798
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6026 Issued in SC
Practice address
SC House Calls Inc.
111 Doctors Cir.
Columbia, SC 29203
Phone
(800) 491-0909
Fax
(843) 671-7343
NPI assigned
Nov 10, 2006
Last updated
Jan 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 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 6026 SC Primary

Addresses

Primary practice location

SC House Calls Inc.
111 Doctors Cir.
Columbia, SC 29203

Mailing address

SC House Calls Inc.
111 Doctors Cir.
Columbia, SC 29203
Phone (800) 491-0909

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100201000138 SC Practitioner - Physical Therapist in Private Practice 4587604244 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
May accept Medicare assignment
Group practices
Total Joint and Orthopedic Physical TherapyGroup PAC ID 0345411856, 5 clinicians

Practice addresses (Care Compare)

6 Pleasant Place CT
Beaufort, SC 29907-1187
Phone (843) 252-1810

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Performance Systems LLC CurrentSince Jul 20, 2021 Accepting new patients
SC House Calls Inc CurrentSince Jan 9, 2024 Accepting new patients
Total Joint and Orthopedic Physical Therapy Physical Therapist CurrentSince Aug 1, 2024 Accepting new patients
SC House Calls Inc CurrentSince Jan 9, 2024 Accepting new patients
Greenville Proaxis Therapy, LLC Physical Therapist CurrentSince Mar 1, 2019 Accepting new patients
Greenville Proaxis Therapy LLC CurrentSince Mar 1, 2019 Accepting new patients
Fox Rehabilitation Services of South Carolina, LLC Physical Therapist CurrentSince Oct 1, 2022 Accepting new patients
Upstate Rehab Services PastSince Mar 7, 2021 Accepting new patients
Upstate Physical Therapy Physical Therapist PastSince Sep 27, 2005 Accepting new patients
Palmetto Therapy Services Physical Therapist PastSince Apr 20, 2015 Accepting new patients

Locations

33205 Collection Ctr Dr
Chicago, IL 60693

200 Okatie Village Dr
Ste 105106
Bluffton, SC 29909
Phone (843) 706-2861

111 Doctor Cir
Columbia, SC 29203
Phone (803) 730-8910

103 N Main St
Ste 201
Greenville, SC 29601
Phone (864) 528-5753

460 William Hilton Pkwy
Ste B
Hilton Head Island, SC 29926
Phone (843) 277-0270

1053 Center St
West Columbia, SC 29169
Phone (803) 454-0365

Organizations & group practices 10

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": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1336210798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SC HOUSE CALLS INC.",
            "address_2": "111 DOCTORS CIR.",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29203",
            "telephone_number": "800-491-0909",
            "fax_number": "843-671-7343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SC HOUSE CALLS INC.",
            "address_2": "111 DOCTORS CIR.",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29203",
            "telephone_number": "800-491-0909",
            "fax_number": "843-671-7343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "MELISSA",
        "middle_name": "LEE",
        "name_prefix": "Miss",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-10",
        "last_updated": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "6026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Jan 16, 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.