Emma Gwynne Hennessy Smith

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11468 Issued in SC

Practice address

7800 Rivers Ave Ste 1240
North Charleston, SC 29406-4067

Phone

(843) 277-0710

Fax

(843) 573-7412

NPI assigned

Aug 11, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carolina Physical Therapy and Sports Medicine Limited PartnershipGroup PAC ID 7517236557, 37 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Carolina Physical Therapy and Sports Medicine Limited Partnership

  • Physical Therapist
  • Columbia, SC
  • NPI 1487180881
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1396473872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 HARBOR POINTE DR APT 10",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294645611",
            "telephone_number": "864-349-9218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 RIVERS AVE STE 1240",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294064067",
            "telephone_number": "843-277-0710",
            "fax_number": "843-573-7412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNESSY SMITH",
        "first_name": "EMMA",
        "middle_name": "GWYNNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-11",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "11468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Nicole Helton, M.ED. LPES
• Elizabeth Heman
• Jeremy Henderson-Teelucksingh, MA, MHR
• Kelsey Henderson, DPT
• Colleen Patricia Hennelly, O.D.
• Lloyd Earl Hepburn Jr., MD
• Here for You Home Healthcare
• Zul Hernandez, ATC
• Herold's North, LLC (Walt's Family Pharmacy)
• Lee Hershon, DDS

• Physical Therapist in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; 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.