Individual provider Active NPI

Elizabeth E Andrews, PT, DPT

  • Physical Therapist
  • Mount Pleasant, SC
National Provider Identifier
1447424742
Registry record updated Apr 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1571 Issued in SC
Practice address
721 Long Point Rd Ste 406
Mount Pleasant, SC 29464-8298
Phone
(843) 352-7800
Fax
(843) 352-7818
NPI assigned
Apr 17, 2008
Last updated
Apr 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2018

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 1571 SC Primary

Addresses

Primary practice location

721 Long Point Rd Ste 406
Mount Pleasant, SC 29464-8298

Mailing address

721 Long Point Rd Ste 406
Mount Pleasant, SC 29464-8298
Phone (843) 352-7800

Other practice location 1

999 Lake Hunter Cir Ste B
MT Pleasant, SC 29464-5427
Phone (843) 388-3120

Other identifiers 1

IdentifierTypeStateIssuer
PT003225OtherGAGA PT LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140327002294 SC Practitioner - Physical Therapist in Private Practice 7315178795 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Medical University of South Carolina College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Momentum Physical Therapy and Wellness LLCGroup PAC ID 3476800970, 2 clinicians

Practice addresses (Care Compare)

721 Long Point Rd
Suite 406
Mount Pleasant, SC 29464-8298
Phone (843) 352-7800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1571SCMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Momentum Physical Therapy & Wellness, LLC Physical Therapist CurrentSince May 1, 2018 Accepting new patients
Global Wound Care Past Accepting new patients
Coastal Dermatology, LLC PastSince Feb 1, 2014 Accepting new patients

Locations

721 Long Point Rd
Ste 406
Mt Pleasant, SC 29464
Phone (843) 352-7800

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": "1208390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523836800000",
    "number": "1447424742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 LONG POINT RD STE 406",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294648298",
            "telephone_number": "843-352-7800",
            "fax_number": "843-352-7818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 LONG POINT RD STE 406",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294648298",
            "telephone_number": "843-352-7800",
            "fax_number": "843-352-7818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "999 Lake Hunter Cir Ste B",
            "address_purpose": "LOCATION",
            "city": "MT Pleasant",
            "state": "SC",
            "postal_code": "294645427",
            "country_code": "US",
            "telephone_number": "843-388-3120",
            "fax_number": "843-353-2475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDREWS",
        "first_name": "ELIZABETH",
        "middle_name": "E",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-17",
        "last_updated": "2018-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "1571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA PT LICENSE",
            "identifier": "PT003225",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2018; 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.