Active NPI
C'Asia Bermudez, PT, DPT
- Physical Therapist
- West Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT12639
- Practice address
- 125 State St Ste 3
West Columbia, SC 29169-7557 - Phone
- (803) 973-0808
- NPI assigned
- Dec 4, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P22630 | NC | |
| Physical Therapist | 225100000X | PT014998 | GA | |
| Physical Therapist | 225100000X | PT12639 | SC | Primary |
Addresses
Primary practice location
125 State St Ste 3
West Columbia, SC 29169-7557
Mailing address
125 State St Ste 3
West Columbia, SC 29169-7557
Other practice location 1
5232 Sunset Blvd Ste B
Lexington, SC 29072-9347
Phone (803) 756-4744
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, SC
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12639 | SC | MD | Social Worker |
| PT014998 | GA | MD | Physical Therapist |
| P22630 | NC | MD | Physical Therapist |
| PT12639 | SC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Select Physical Therapy Holdings Inc | Current | Accepting new patients | |
| Proactive Therapy of North Carolina Inc | Current | Accepting new patients | |
| Proactive Therapy of North Carolina Inc | Current | Accepting new patients | |
| Select Physical Therapy Holdings Inc | Current | Accepting new patients | |
| Select Physical Therapy Holdings, Inc. | Current | Accepting new patients | |
| Select Physical Therapy Holdings, Inc. | Current | Accepting new patients | |
| Select Physical Therapy Holdings, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
60 Livingston St
Ste 400
Asheville, NC 28801
Phone (828) 258-0797
3611 Mt Holly Huntersville Rd
Ste 204
Charlotte, NC 28216
Phone (980) 256-3171
10020 Edison Square Dr NW
Ste C105
Concord, NC 28027
Phone (704) 948-5351
1630 Campus Park Dr
Ste D
Monroe, NC 28112
Phone (704) 283-9422
2358 US Highway 70
Ste Ab
Swannanoa, NC 28778
Phone (828) 686-3375
4600 Forest Dr
Ste 2
Columbia, SC 29206
Phone (803) 376-9789
870 Gold Hill Rd
Ste 103
Fort Mill, SC 29708
Phone (803) 835-6000
5232 Sunset Blvd
Ste B
Lexington, SC 29072
Phone (803) 756-4744
125 State St
Ste 3
West Columbia, SC 29169
Phone (803) 756-4744
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Fort Mill, SC
- NPI 1518341981
Physical Therapist
-
- Physical Therapy Clinic/Center
- Charlotte, NC
- NPI 1568468502
-
- Physical Therapy Clinic/Center
- Charlotte, NC
- NPI 1669432175
-
- Physical Therapy Clinic/Center
- West Columbia, SC
- NPI 1346881323
-
- Physical Therapy Clinic/Center
- Raleigh, NC
- NPI 1689679433
-
- Physical Therapy Clinic/Center
- Ashland, VA
- NPI 1174591218
-
- Physical Therapy Clinic/Center
- Charlotte, NC
- NPI 1063027597
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734307200000",
"number": "1356946495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 STATE ST STE 3",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291697557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 STATE ST STE 3",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291697557",
"telephone_number": "803-973-0808"
}
],
"practiceLocations": [
{
"address_1": "5232 Sunset Blvd Ste B",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "SC",
"postal_code": "290729347",
"country_code": "US",
"telephone_number": "803-756-4744",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERMUDEZ",
"first_name": "C'ASIA",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-04",
"last_updated": "2024-12-16",
"certification_date": "2024-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P22630",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT014998",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "PT12639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.