Individual provider Active NPI

Michael Robert Howell, PT

  • Physical Therapist
  • Beaufort, SC
National Provider Identifier
1417989708
Registry record updated Aug 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5301 Issued in SC
Practice address
2127 Boundary St
Suite 18B
Beaufort, SC 29902-3827
Phone
(843) 263-6599
NPI assigned
Jul 7, 2006
Last updated
Aug 28, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2015

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 5301 SC Primary

Addresses

Primary practice location

2127 Boundary St
Suite 18B
Beaufort, SC 29902-3827

Mailing address

PO Box 2585
Beaufort, SC 29901-2585
Phone (843) 263-6599

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
5301SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ridgeland Physical Therapy, Inc. Physical Therapist CurrentSince Jan 13, 2016 Accepting new patients
Gravity Physical Therapy, Inc. CurrentSince Sep 21, 2015 Accepting new patients
Carolina Sportscare and Physical Therapy Physical Therapist PastSince Jan 28, 2002 Accepting new patients

Locations

2121 Boundary St
Ste 200
Beaufort, SC 29902
Phone (843) 379-2320

2127 Boundary St
Ste 18B
Beaufort, SC 29902
Phone (843) 263-6599

10616 S Jacob Smart Blvd
Ste 104
Ridgeland, SC 29936
Phone (843) 726-6600

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440720000000",
    "number": "1417989708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2585",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299012585",
            "telephone_number": "843-263-6599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2127 BOUNDARY ST",
            "address_2": "SUITE 18B",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299023827",
            "telephone_number": "843-263-6599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWELL",
        "first_name": "MICHAEL",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2015-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "5301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaufort, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2015; 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.