Individual provider Active NPI

Heather C Smith, PT, CHT

  • Physical Therapist
  • North Charleston, SC
National Provider Identifier
1396040507
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11724 Issued in SC
Practice address
5401 Netherby LN Ste 302
North Charleston, SC 29420-7363
Phone
(843) 225-5211
Fax
(843) 225-5513
NPI assigned
Jan 19, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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 018958-1 NY
Physical Therapist 225100000X 11724 SC Primary

Addresses

Primary practice location

5401 Netherby LN Ste 302
North Charleston, SC 29420-7363

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (866) 370-8206

Other practice location 1

4901 Lac De Ville Blvd
Suite 130
Rochester, NY 14618-5647
Phone (585) 341-9050

Other identifiers 1

IdentifierTypeStateIssuer
02299067MedicaidNY

Other names 1

  • Heather Christine Delucia Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230811001042 SC Practitioner - Physical Therapist in Private Practice 8729008560 Reassigns benefits to 1 organization
Practice locations: Charleston, SC

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RSFH - Ati Physical Therapy LLCGroup PAC ID 3375849946, 98 clinicians

Practice addresses (Care Compare)

5401 Netherby Lane
BLDG 300 Suite 302
Charleston, SC 29420
Phone (843) 225-5211

Merit-based Incentive Payment System (MIPS)

Final score
86.49 of 100Reported as group
Quality
89.43
Improvement activities
40
Cost
74.33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
018953NYMDClinical Psychologist
018958-1NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
RSFH - Ati Physical Therapy, LLC Physical Therapist CurrentSince Aug 21, 2023 Accepting new patients
RSFH - Ati Physical Therapy, LLC Physical Therapist CurrentSince Aug 21, 2023 Accepting new patients
Hand Rehabilitation Past Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

33299 Collection Ctr Dr
Chicago, IL 60693

5400 International Blvd
Bldg 8821
Charleston, SC 29418
Phone (843) 763-4115

9241 University Blvd
Ste B1
North Charleston, SC 29406
Phone (843) 414-1140

5401 Netherby Ln
Ste 300
North Charleston, SC 29420
Phone (843) 225-5211

5401 Netherby Ln
Ste 302
North Charleston, SC 29420
Phone (843) 225-5211

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1295395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1396040507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "866-370-8206",
            "fax_number": "517-435-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 NETHERBY LN STE 302",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294207363",
            "telephone_number": "843-225-5211",
            "fax_number": "843-225-5513"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4901 Lac De Ville Blvd",
            "address_2": "Suite 130",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146185647",
            "country_code": "US",
            "telephone_number": "585-341-9050",
            "fax_number": "585-341-4252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "HEATHER",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "PT, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-19",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "018958-1",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "11724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02299067",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "DELUCIA",
            "middle_name": "CHRISTINE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.