Individual provider Active NPI

Melissa Leigh Terpstra, D.P.T.

  • Physical Therapist
  • Fort Mill, SC
National Provider Identifier
1346451416
Registry record updated Aug 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6687 Issued in SC
Practice address
206 Springcrest Dr
Fort Mill, SC 29715-7306
Phone
(803) 746-4655
Fax
(803) 746-7807
NPI assigned
May 24, 2007
Last updated
Aug 14, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 32072 CA
Physical Therapist 225100000X 6687 SC Primary
Physical Therapist 225100000X 13640 NC

Addresses

Primary practice location

206 Springcrest Dr
Fort Mill, SC 29715-7306

Mailing address

206 Springcrest Dr
Fort Mill, SC 29715-7306
Phone (803) 746-4655

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120731000576 SC Practitioner - Physical Therapist in Private Practice 7012173347 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
May accept Medicare assignment
Group practices
Benchmark Healthcare Services LLCGroup PAC ID 3779726468, 136 clinicians

Practice addresses (Care Compare)

1135 Stonecrest Blvd
Suite 103
Tega Cay, SC 29708-6559
Phone (803) 547-9940

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32072CAMDSpeech-Language Pathologist
13640NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Health Services Physical Therapist CurrentSince Feb 16, 2015 Accepting new patients
Benchmark Healthcare Services, LLC Physical Therapist CurrentSince Feb 16, 2015 Accepting new patients
Phoenix Rehabilitation and Health Services of South Carolina, LLC Physical Therapist PastSince Aug 31, 2019 Accepting new patients
Ivyrehab Focus, Inc. Physical Therapist PastSince Mar 1, 2009 Accepting new patients
Ivyrehab Focus, Inc. Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1000 Tanner Ford Blvd
Ste 370
Hanahan, SC 29410
Phone (843) 718-1058

1135 Stonecrest Blvd
Ste 103
Tega Cay, SC 29708
Phone (803) 547-9940

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (866) 518-0283

Organizations & group practices 5

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": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344902400000",
    "number": "1346451416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 SPRINGCREST DR",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297157306",
            "telephone_number": "803-746-4655",
            "fax_number": "803-746-7807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 SPRINGCREST DR",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297157306",
            "telephone_number": "803-746-4655",
            "fax_number": "803-746-7807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERPSTRA",
        "first_name": "MELISSA",
        "middle_name": "LEIGH",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2012-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "32072",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "6687",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "13640",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Mill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; 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.