Active NPI
Novant Health Physical Therapy LLC
Doing business as Novant Health Physical Therapy
- Physical Therapist
- Port Royal, SC
National Provider Identifier
1376379818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- NOVANT HEALTH PHYSICAL THERAPY LLC
- Doing business as
- Novant Health Physical Therapy
- Practice address
- 1510 Ribaut Rd
Port Royal, SC 29935-1403 - Phone
- (843) 524-3241
- Fax
- (843) 322-3240
- NPI assigned
- Sep 11, 2024
- Last updated
- Sep 26, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Leea Jeanine Walton
- Title
- RCS Manager
- Phone
- (336) 515-7085
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
1510 Ribaut Rd
Port Royal, SC 29935-1403
Mailing address
PO Box 749303
Atlanta, GA 30374-9303
Other practice location 1
100 Jimmy Love Ln
Columbia, SC 29212-3159
Phone (803) 731-4055
Other practice location 2
35 Ray E Talley Ct
Simpsonville, SC 29680-6772
Phone (864) 967-4600
Other practice location 3
2200 S Irby St
Florence, SC 29505-3423
Phone (843) 669-0421
Other practice location 4
2050 Corporate Centre Dr
Myrtle Beach, SC 29577-7428
Phone (843) 443-9368
Other practice location 5
2475 Broad St
Sumter, SC 29150-1820
Phone (803) 934-8470
Other practice location 6
8091 Rivers Ave
North Charleston, SC 29406-9236
Phone (843) 824-9251
Other practice location 7
10040 Two Notch Rd
Columbia, SC 29223-4396
Phone (803) 788-9950
Other practice location 8
1029 York St NE
Aiken, SC 29801-4025
Phone (803) 502-1484
Other practice location 9
1410 Wilson Rd
Newberry, SC 29108-3050
Phone (803) 276-2996
Other practice location 10
12015 Hwy 707
Murrells Inlet, SC 29576
Phone (843) 492-9022
Other practice location 11
526 Johnnie Dodds Blvd Ste 201
Mount Pleasant, SC 29464-1703
Phone (843) 849-6889
Other practice location 12
815 Highway 378
Lexington, SC 29072-8316
Phone (803) 399-9448
Other practice location 13
1762 E Main St
Spartanburg, SC 29307-2231
Phone (864) 573-5075
Other practice location 14
4500 Forest Dr Ste A
Columbia, SC 29206-3105
Phone (803) 787-3143
Other practice location 15
10160 Dorchester Rd
Summerville, SC 29485
Phone (843) 851-5820
Other practice location 16
701 Congaree Rd
Greenville, SC 29607-3519
Phone (864) 329-0983
Other practice location 17
7653 Garners Ferry Rd
Columbia, SC 29209-3857
Phone (803) 695-6150
Other practice location 18
64 Bluffton Rd
Bluffton, SC 29910-7621
Phone (843) 681-2376
Other practice location 19
3424 Shelby Ray Ct
Charleston, SC 29414-5838
Phone (843) 402-7765
Other names 1
- Novant Health Physical Therapy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
10040 Two Notch Rd
Columbia, SC 29223
Phone (803) 788-1153
100 Jimmy Love Ln
Columbia, SC 29212
Phone (803) 731-4055
4500 Forest Dr
Columbia, SC 29206
Phone (803) 738-9522
526 Johnnie Dodds Blvd
Fl 3
Mount Pleasant, SC 29464
2050 Corporate Centre Dr
Myrtle Beach, SC 29577
Phone (843) 443-9368
1410 Wilson Rd
Newberry, SC 29108
Phone (803) 276-2186
8091 Rivers Ave
North Charleston, SC 29406
Phone (843) 572-7000
Practitioners & affiliated clinicians
Practitioners 34
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.
-
- Physical Therapist
- Columbia, SC
- NPI 1992090377
-
- Physical Therapist
- Charleston, SC
- NPI 1053793844
-
- Physical Therapist
- Columbia, SC
- NPI 1437673498
-
- Physical Therapist
- Elgin, SC
- NPI 1760149603
-
- Orthopedic Physical Therapist
- Florence, SC
- NPI 1720273188
-
- Physical Therapist
- Murrells Inlet, SC
- NPI 1447514757
-
- Physical Therapist
- Mount Pleasant, SC
- NPI 1467413104
-
- Physical Therapist
- Greenville, SC
- NPI 1376152439
-
- Physical Therapist
- Columbia, SC
- NPI 1528550118
-
- Physical Therapist
- Bluffton, SC
- NPI 1023373438
-
- Physical Therapist
- Charleston, SC
- NPI 1770254914
-
- Physical Therapist
- North Charleston, SC
- NPI 1922983956
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726012800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727308800000",
"number": "1376379818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 749303",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303749303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1510 RIBAUT RD",
"city": "PORT ROYAL",
"state": "SC",
"postal_code": "299351403",
"telephone_number": "843-524-3241",
"fax_number": "843-322-3240"
}
],
"practiceLocations": [
{
"address_1": "100 Jimmy Love Ln",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "292123159",
"country_code": "US",
"telephone_number": "803-731-4055",
"fax_number": "803-798-3335",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "35 Ray E Talley Ct",
"address_purpose": "LOCATION",
"city": "Simpsonville",
"state": "SC",
"postal_code": "296806772",
"country_code": "US",
"telephone_number": "864-967-4600",
"fax_number": "864-967-0935",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2200 S Irby St",
"address_purpose": "LOCATION",
"city": "Florence",
"state": "SC",
"postal_code": "295053423",
"country_code": "US",
"telephone_number": "843-669-0421",
"fax_number": "843-669-0422",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2050 Corporate Centre Dr",
"address_purpose": "LOCATION",
"city": "Myrtle Beach",
"state": "SC",
"postal_code": "295777428",
"country_code": "US",
"telephone_number": "843-443-9368",
"fax_number": "843-916-2348",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2475 Broad St",
"address_purpose": "LOCATION",
"city": "Sumter",
"state": "SC",
"postal_code": "291501820",
"country_code": "US",
"telephone_number": "803-934-8470",
"fax_number": "803-934-8457",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8091 Rivers Ave",
"address_purpose": "LOCATION",
"city": "North Charleston",
"state": "SC",
"postal_code": "294069236",
"country_code": "US",
"telephone_number": "843-824-9251",
"fax_number": "843-824-9254",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10040 Two Notch Rd",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "292234396",
"country_code": "US",
"telephone_number": "803-788-9950",
"fax_number": "803-462-9858",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1029 York St NE",
"address_purpose": "LOCATION",
"city": "Aiken",
"state": "SC",
"postal_code": "298014025",
"country_code": "US",
"telephone_number": "803-502-1484",
"fax_number": "803-502-1485",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1410 Wilson Rd",
"address_purpose": "LOCATION",
"city": "Newberry",
"state": "SC",
"postal_code": "291083050",
"country_code": "US",
"telephone_number": "803-276-2996",
"fax_number": "803-276-3331",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12015 Hwy 707",
"address_purpose": "LOCATION",
"city": "MURRELLS INLET",
"state": "SC",
"postal_code": "29576",
"country_code": "US",
"telephone_number": "843-492-9022",
"fax_number": "843-492-9023",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "526 Johnnie Dodds Blvd Ste 201",
"address_purpose": "LOCATION",
"city": "Mount Pleasant",
"state": "SC",
"postal_code": "294641703",
"country_code": "US",
"telephone_number": "843-849-6889",
"fax_number": "843-856-0128",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "815 Highway 378",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "SC",
"postal_code": "290728316",
"country_code": "US",
"telephone_number": "803-399-9448",
"fax_number": "803-399-9978",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1762 E Main St",
"address_purpose": "LOCATION",
"city": "Spartanburg",
"state": "SC",
"postal_code": "293072231",
"country_code": "US",
"telephone_number": "864-573-5075",
"fax_number": "864-573-5304",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4500 Forest Dr Ste A",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "292063105",
"country_code": "US",
"telephone_number": "803-787-3143",
"fax_number": "803-782-4436",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10160 Dorchester Rd",
"address_purpose": "LOCATION",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "29485",
"country_code": "US",
"telephone_number": "843-851-5820",
"fax_number": "843-832-6403",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "701 Congaree Rd",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "SC",
"postal_code": "296073519",
"country_code": "US",
"telephone_number": "864-329-0983",
"fax_number": "864-627-1756",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7653 Garners Ferry Rd",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "292093857",
"country_code": "US",
"telephone_number": "803-695-6150",
"fax_number": "803-695-6146",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "64 Bluffton Rd",
"address_purpose": "LOCATION",
"city": "Bluffton",
"state": "SC",
"postal_code": "299107621",
"country_code": "US",
"telephone_number": "843-681-2376",
"fax_number": "843-757-3269",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3424 Shelby Ray Ct",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "SC",
"postal_code": "294145838",
"country_code": "US",
"telephone_number": "843-402-7765",
"fax_number": "843-766-2943",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NOVANT HEALTH PHYSICAL THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-11",
"last_updated": "2024-09-26",
"certification_date": "2024-09-24",
"status": "A",
"authorized_official_last_name": "WALTON",
"authorized_official_first_name": "LEEA",
"authorized_official_middle_name": "JEANINE",
"authorized_official_title_or_position": "RCS MANAGER",
"authorized_official_telephone_number": "336-515-7085"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Novant Health Physical Therapy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Novant Health Physical Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Port Royal, SC
- Givon McLean, PHARMD
- James Fyffe McNab, MD
- Mental Wellness Center of the Lowcountry, LLC
- Melissa Rose Mesenburg, DNP, APRN, FNP-C
- Eric Walters Nelson, DABR, PHD
- William Esdorn Oquinn Jr., MD
- Alisha N. Orage Freeman, APRN
- Origin Pelvic Health and Occupational Therapy LLC
- Adrienne Leigh Osborn, LMT, CLT
- Jennifer Rae Parton, MSP, CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.