Individual provider Active NPI

Pamela Jeanne Digiovanna, PT, DPT

  • Physical Therapist
  • Garden City Beach, SC
National Provider Identifier
1356580807
Registry record updated Dec 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6861 Issued in SC
Practice address
2586 Highway 17 South (Business)
Unit C&D
Garden City Beach, SC 29576-6605
Phone
(843) 651-6565
Fax
(843) 651-6575
NPI assigned
Feb 6, 2009
Last updated
Dec 17, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU
Physical Therapist 225100000X 6861 SC Primary

Addresses

Primary practice location

2586 Highway 17 South (Business)
Unit C&D
Garden City Beach, SC 29576-6605

Mailing address

2586 Highway 17 South (Business)
Unit C&D
Garden City Beach, SC 29576-6605
Phone (843) 651-6565

Other names 1

  • Miss Pamela Jeanne Sobel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Low Country Physical Therapy Physical Therapist CurrentSince Nov 26, 2012 Accepting new patients
PT Dynamics & Sports Medicine Inc Physical Therapist PastSince Jul 1, 2004 Accepting new patients

Locations

2586 S Highway 17
Unit Cd
Murrells Inlet, SC 29576
Phone (843) 651-6565

2586 S Highway 17
Unit C
Murrells Inlt, SC 29576
Phone (843) 651-6565

Organizations & group practices 2

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": "1233878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387238400000",
    "number": "1356580807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2586 HIGHWAY 17 SOUTH (BUSINESS)",
            "address_2": "UNIT C&D",
            "city": "GARDEN CITY BEACH",
            "state": "SC",
            "postal_code": "295766605",
            "telephone_number": "843-651-6565",
            "fax_number": "843-651-6575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2586 HIGHWAY 17 SOUTH (BUSINESS)",
            "address_2": "UNIT C&D",
            "city": "GARDEN CITY BEACH",
            "state": "SC",
            "postal_code": "295766605",
            "telephone_number": "843-651-6565",
            "fax_number": "843-651-6575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIGIOVANNA",
        "first_name": "PAMELA",
        "middle_name": "JEANNE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-06",
        "last_updated": "2013-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "6861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "SOBEL",
            "middle_name": "JEANNE",
            "prefix": "MISS",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Garden City Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.