Organization Active NPI

Personal Performance

  • Physical Therapist
  • Mount Pleasant, SC
National Provider Identifier
1366024556
Registry record updated Sep 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PERSONAL PERFORMANCE
Practice address
1113 Bowman Rd Ste 100
Mount Pleasant, SC 29464-3220
Phone
(843) 226-7231
NPI assigned
Apr 27, 2021
Last updated
Sep 30, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2022

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

Authorized official

Name
James TobinNPI 1245829779
Title
Owner
Phone
(843) 225-0774

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

1113 Bowman Rd Ste 100
Mount Pleasant, SC 29464-3220

Mailing address

1113 Bowman Rd Ste 100
Mount Pleasant, SC 29464-3220
Phone (843) 225-0774

Other practice location 1

483 Long Point Rd Unit B
Mount Pleasant, SC 29464-8377
Phone (843) 226-7231

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL jamie@personalperformancechs.com Other

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211109001304 SC Part B Supplier - Clinic/Group Practice 3870902422 Receives reassigned benefits from 2 practitioners
Practice locations: Mt Pleasant, SC

National Provider Directory

National Provider Directory

Locations

1113 Bowman Rd
Ste 100
Mt Pleasant, SC 29464
Phone (843) 225-0774

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664496000000",
    "number": "1366024556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 BOWMAN RD STE 100",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643220",
            "telephone_number": "843-225-0774",
            "fax_number": "843-459-7943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 BOWMAN RD STE 100",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643220",
            "telephone_number": "843-226-7231"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "483 Long Point Rd Unit B",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "SC",
            "postal_code": "294648377",
            "country_code": "US",
            "telephone_number": "843-226-7231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PERSONAL PERFORMANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-27",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A",
        "authorized_official_last_name": "TOBIN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-225-0774"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jamie@personalperformancechs.com",
            "affiliation": "N",
            "endpointDescription": "Email Address",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Jane",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "personalperformancechs.com/",
            "address_1": "483 Long Point Rd Unit B",
            "city": "Mount Pleasant",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294648377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; 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.