Individual provider Active NPI

Carly Ritter, PT, DPT, OCS

  • Orthopedic Physical Therapist
  • Aiken, SC
National Provider Identifier
1376072967
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
12584 Issued in SC
Practice address
550 Silver Bluff Rd Ste 600-700
Aiken, SC 29803-6021
Phone
(803) 220-3655
NPI assigned
Jun 7, 2017
Last updated
Oct 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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 05012453A IN
Orthopedic Physical Therapist 2251X0800X 12584 SC Primary

Addresses

Primary practice location

550 Silver Bluff Rd Ste 600-700
Aiken, SC 29803-6021

Mailing address

811 Speckled Teal Path
Aiken, SC 29803-6357
Phone (765) 398-4030

Other practice location 1

2302 S Dixon Rd Ste 150
Kokomo, IN 46902-6427
Phone (765) 416-6630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190813001165 IN Practitioner - Physical Therapist in Private Practice 6608103718 Reassigns benefits to 1 organization
I20241213002576 SC Practitioner - Physical Therapist in Private Practice 6608103718 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peak Rehabilitation, Fitness and Performance CenterGroup PAC ID 3971653064, 12 clinicians

Practice addresses (Care Compare)

550 Silver Bluff Rd
Suite 700
Aiken, SC 29803-6038
Phone (803) 220-3655

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12584SCMDPharmacist
05012453AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehab Indiana LLC Physical Therapist CurrentSince May 1, 2024 Accepting new patients
Peak Rehabilitation, Fitness and Performance Center Physical Therapist CurrentSince Dec 1, 2024 Accepting new patients
Releve Physical Therapy CurrentSince Oct 27, 2024 Accepting new patients
Peak Rehabilitation, Fitness and Performance Center LLC Physical Therapist Past Accepting new patients

Locations

1305 Dantignac St
Augusta, GA 30901
Phone (706) 823-2807

14901 Carey Rd
Carmel, IN 46033

7 Carnegie Plz
Cherry Hill, NJ 08003

550 Silver Bluff Rd
Ste 700
Aiken, SC 29803
Phone (803) 220-3655

Organizations & group practices 4

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": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1376072967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 SPECKLED TEAL PATH",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298036357",
            "telephone_number": "765-398-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 SILVER BLUFF RD STE 600-700",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298036021",
            "telephone_number": "803-220-3655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2302 S Dixon Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Kokomo",
            "state": "IN",
            "postal_code": "469026427",
            "country_code": "US",
            "telephone_number": "765-416-6630",
            "fax_number": "765-416-6629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RITTER",
        "first_name": "CARLY",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, OCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-07",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05012453A",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "SC",
            "license": "12584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.