Envision Therapy Services, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ENVISION THERAPY SERVICES, LLC

Doing business as

Petite Rehab Pediatric Therapy

Practice address

211 Chapelwood Dr
Columbia, SC 29229-7121

Phone

(803) 661-9533

NPI assigned

Apr 12, 2012

Organization subpart

No

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

Authorized official

Name

Sherri McGraw Wicker, PTNPI 1245516244

Title

Owner

Phone

(803) 360-8797

Specialties & licenses 2

Addresses

Other names 1

• Petite Rehab Pediatric Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 2

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

• Sherri McGraw Wicker, P.T.

  • Physical Therapist
  • Columbia, SC
  • NPI 1245516244
  Medicare reassignment Authorized official
• Caitlyn Taylor Goodwin, DPT

  • Physical Therapist
  • Columbia, SC
  • NPI 1427624410
  NPD

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

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623196800000",
    "number": "1346507571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118A N BRICKYARD RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292236902",
            "telephone_number": "803-897-7022",
            "fax_number": "803-832-1572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 CHAPELWOOD DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292297121",
            "telephone_number": "803-661-9533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-12",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A",
        "authorized_official_last_name": "WICKER",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_middle_name": "MCGRAW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-360-8797",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "SC",
            "license": "4836",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Petite Rehab Pediatric Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alan John Enjetti, M.D.
• Christopher Michael Enke, OTD
• Ennoble Hospice SC LLC (Ennoble Care)
• Towanna Shanett-Lance Enoch, NP-C
• Manuel Hipolito Enriquez, M.D.
• Envision Wellness Medical Group
• Envision Wellness Medical Group LLC
• Envision Wellness Medical Group LLC (Envision Wellness Medical Group IOP)
• David Alan Eoute Jr., MSP, SLP-CFY
• Joanne B Epley, RPH

• Physical Therapist in Columbia, SC
• Providers in Columbia, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; 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.