Shelley Birnie Physical Therapy, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

1042 Issued in SC

Legal business name

SHELLEY BIRNIE PHYSICAL THERAPY, LLC

Practice address

498 Wando Park Blvd
Ste 200
Mt Pleasant, SC 29464-7902

Phone

(843) 884-1118

Fax

(843) 448-2434

NPI assigned

Mar 27, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Shelley Birnie, PT

Title

Managing Member

Phone

(843) 884-1118

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262822400000",
    "number": "1407974405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "498 WANDO PARK BLVD",
            "address_2": "STE 200",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294647902",
            "telephone_number": "843-884-1118",
            "fax_number": "843-448-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "498 WANDO PARK BLVD",
            "address_2": "STE 200",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294647902",
            "telephone_number": "843-884-1118",
            "fax_number": "843-448-2434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELLEY BIRNIE PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2010-01-07",
        "status": "A",
        "authorized_official_last_name": "BIRNIE",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "843-884-1118",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "SC",
            "license": "1042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOL NUMBER",
            "identifier": "610458600",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "3229888",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristen M Shealy, EDM; CAS; LPC
• Ralph McKeetha Shealy, M.D.
• Lorie Jane Shearon-Hanna, RN,CDE
• Rhiannon Shelbourne, RD, LD
• Sheldon C. Levin PH.D., LLC
• Deborah Shelley
• Donna Owens Shelton, R.PH.
• Shem Creek Dental Associates
• Shemcreek Psychiatry, LLC
• Joanna Shepard, PHARMD

• Physical Therapy Clinic/Center in Mt Pleasant, SC
• Providers in Mt Pleasant, SC by specialty
• Physical Therapy Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.