Individual provider Active NPI

Tanya Hyatt, PT

  • Physical Therapist
  • Clemson, SC
National Provider Identifier
1396094066
Registry record updated Jan 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5139 Issued in SC
Practice address
500 Downs Loop
Clemson, SC 29631-2035
Phone
(864) 722-9059
Fax
(610) 925-7059
NPI assigned
Sep 10, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5139 SC Primary

Addresses

Primary practice location

500 Downs Loop
Clemson, SC 29631-2035

Mailing address

500 Downs Loop
Clemson, SC 29631-2035
Phone (864) 722-9059

Other practice location 1

2333 Ashley River Rd
Charleston, SC 29414-4755
Phone (843) 766-9898

Other practice location 2

107 Perpetual Sq
Anderson, SC 29621-1713
Phone (864) 642-3495

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141003000221 SC Practitioner - Physical Therapist in Private Practice 9133349772 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Powerback Rehabilitation LLC Physical Therapist CurrentSince Aug 1, 2025 Accepting new patients
Powerback Rehabilitation LLC Physical Therapist CurrentSince Aug 1, 2025 Accepting new patients

Locations

101 E State St
Kennett Square, PA 19348
Phone (610) 925-4436

107 Perpetual Sq
Anderson, SC 29621
Phone (864) 222-9880

1925 Essex Farms Dr
Charleston, SC 29414
Phone (843) 779-1685

500 Downs Loop
Clemson, SC 29631
Phone (864) 654-1155

5130 Westcott Blvd
Summerville, SC 29485
Phone (843) 376-5925

Organizations & group practices 2

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": "1347235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1396094066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 DOWNS LOOP",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296312035",
            "telephone_number": "864-722-9059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 DOWNS LOOP",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296312035",
            "telephone_number": "864-722-9059",
            "fax_number": "610-925-7059"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2333 Ashley River Rd",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294144755",
            "country_code": "US",
            "telephone_number": "843-766-9898",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "107 Perpetual Sq",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "SC",
            "postal_code": "296211713",
            "country_code": "US",
            "telephone_number": "864-642-3495",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HYATT",
        "first_name": "TANYA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-10",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "5139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clemson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; 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.

Verify at the official NPI Registry.