Active NPI
Evan Harold Robinette, DPT
- Physical Therapist
- Lexington, SC
National Provider Identifier
1376384362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12381
- Practice address
- 800 N Lake Dr
Lexington, SC 29072-2903 - Phone
- (877) 407-3422
- NPI assigned
- Jun 4, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 12381 | SC | Primary |
Addresses
Primary practice location
800 N Lake Dr
Lexington, SC 29072-2903
Mailing address
701 Easley Bridge Rd Apt 31024
Greenville, SC 29611-5164
Phone (404) 936-3347
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12381 | Other | SC | SOUTH CAROLINA DEPARTMENT OF LABOR, LICENSING, AND REGULATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240716000189 | SC | Practitioner - Physical Therapist in Private Practice | 9133664089 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
800 N Lake Dr
Lexington, SC 29072-2903
Phone (877) 407-3422
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12381 | SC | MD | Ambulatory Care Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehabilitation Services of South Carolina, LLC | Physical Therapist | Current | Accepting new patients |
Locations
7 Carnegie Plz
Cherry Hill, NJ 08003
Organizations & group practices 1
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 Therapist
- Lexington, SC
- NPI 1902133689
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717459200000",
"number": "1376384362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 EASLEY BRIDGE RD APT 31024",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296115164",
"telephone_number": "404-936-3347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 N LAKE DR",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290722903",
"telephone_number": "877-407-3422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINETTE",
"first_name": "EVAN",
"middle_name": "HAROLD",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-06-04",
"last_updated": "2024-06-04",
"certification_date": "2024-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "12381",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTH CAROLINA DEPARTMENT OF LABOR, LICENSING, AND REGULATION",
"identifier": "12381",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.