Individual provider Active NPI

Mary Ashton Pratt, DPT

  • Physical Therapist
  • Ladson, SC
National Provider Identifier
1366712242
Registry record updated Oct 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
3481 Ladson Road
Ladson, SC 29456
Phone
(843) 900-0745
Fax
(866) 396-4079
NPI assigned
Jan 9, 2012
Last updated
Oct 19, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2015

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 6594 SC
Physical Therapist 225100000X SC Primary

Addresses

Primary practice location

3481 Ladson Road
Ladson, SC 29456

Mailing address

3481 Ladson Road
Ladson, SC 29456
Phone (843) 900-0745

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120301000939 SC Practitioner - Physical Therapist in Private Practice 3274792700 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pratt Physical Therapy, LLCGroup PAC ID 6800190513, 3 clinicians

Practice addresses (Care Compare)

3481 Ladson Rd
Ladson, SC 29456-4300
Phone (843) 900-0745

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6594SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Ih3 Physcial Therapy Physical Therapist CurrentSince Jan 10, 2012 Accepting new patients
Pratt Physical Therapy, LLC Physical Therapist CurrentSince Aug 31, 2015 Accepting new patients
Pro-Motion Physical Therapy of Florence, SC, LLC Physical Therapist CurrentSince Jun 5, 2017 Accepting new patients

Locations

3481 Ladson Rd
Ladson, SC 29456
Phone (843) 824-5226

148 Sauls St
Ste B
Lake City, SC 29560
Phone (843) 374-0185

Organizations & group practices 3

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": "1326067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445212800000",
    "number": "1366712242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3481 LADSON ROAD",
            "city": "LADSON",
            "state": "SC",
            "postal_code": "29456",
            "telephone_number": "843-900-0745",
            "fax_number": "866-396-4079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3481 LADSON ROAD",
            "city": "LADSON",
            "state": "SC",
            "postal_code": "29456",
            "telephone_number": "843-900-0745",
            "fax_number": "866-396-4079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATT",
        "first_name": "MARY",
        "middle_name": "ASHTON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-09",
        "last_updated": "2015-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "6594",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ladson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; 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.