Active NPI
Angela Grace Works
- Physical Therapist
- Charleston, SC
National Provider Identifier
1396934105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3420
- Practice address
- 158 Ashley Avenue
Suite C102 Musc Medical Center
Charleston, SC 29425 - Phone
- (843) 792-6366
- NPI assigned
- Oct 17, 2007
- Sex
- Female
- 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 | 3420 | SC | Primary |
Addresses
Primary practice location
158 Ashley Avenue
Suite C102 Musc Medical Center
Charleston, SC 29425
Mailing address
PO Box 250977
158 Ashley Avenue Suite C102 Musc Medical Center
Charleston, SC 29425
Phone (843) 792-6366
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3420 | SC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192579200000",
"number": "1396934105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 250977",
"address_2": "158 ASHLEY AVENUE SUITE C102 MUSC MEDICAL CENTER",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "29425",
"telephone_number": "843-792-6366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "158 ASHLEY AVENUE",
"address_2": "SUITE C102 MUSC MEDICAL CENTER",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "29425",
"telephone_number": "843-792-6366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WORKS",
"first_name": "ANGELA",
"middle_name": "GRACE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-17",
"last_updated": "2007-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "3420",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.