Active NPI
Amanda Heyboer, M.P.T.
- Physical Therapist
- Charleston, SC
National Provider Identifier
1457317836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3876
- Practice address
- 8 Farmfield Ave
Suite B
Charleston, SC 29407-7779 - Phone
- (843) 266-9200
- Fax
- (843) 266-9201
- NPI assigned
- Apr 25, 2006
- 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 | 3876 | SC | Primary |
Addresses
Primary practice location
8 Farmfield Ave
Suite B
Charleston, SC 29407-7779
Mailing address
8 Farmfield Ave
Suite B
Charleston, SC 29407-7779
Phone (843) 266-9200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040107000222 | SC | Practitioner - Physical Therapist in Private Practice | 6103725353 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
8 Farmfield Ave
Suite B
Charleston, SC 29407-7779
Phone (843) 266-9200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3276 | SC | MD | General Practice Dentistry |
| 3876 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lowcountry Physical Therapy Associates LLC | Physical Therapist | Current | Accepting new patients |
| CBD Medical Enterprises PA | Past | Accepting new patients | |
| Lowcountry Medical Associates | Past | Accepting new patients |
Locations
8 Farmfield Ave
Ste B
Charleston, SC 29407
Phone (843) 266-9200
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 and National Provider Directory roles.
-
- Physical Therapist
- Charleston, SC
- NPI 1245303643
-
- Anesthesiology Physician
- Mt Pleasant, SC
- NPI 1578784609
-
- Internal Medicine Physician
- Moncks Corner, SC
- NPI 1790735975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193875200000",
"number": "1457317836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 FARMFIELD AVE",
"address_2": "SUITE B",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294077779",
"telephone_number": "843-266-9200",
"fax_number": "843-266-9201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 FARMFIELD AVE",
"address_2": "SUITE B",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294077779",
"telephone_number": "843-266-9200",
"fax_number": "843-266-9201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEYBOER",
"first_name": "AMANDA",
"credential": "M.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-25",
"last_updated": "2007-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "3876",
"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 Nov 1, 2007; 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.