Chassidy Elizabeth Rettell, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA.4542 Issued in SC

Practice address

157 Home Ave
Darlington, SC 29532-7625

Phone

(286) 784-3393

NPI assigned

Dec 15, 2020

Last updated

Dec 15, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1607990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1457947244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 CHAUCER DR",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295053635",
            "telephone_number": "843-758-3075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 HOME AVE",
            "city": "DARLINGTON",
            "state": "SC",
            "postal_code": "295327625",
            "telephone_number": "286-784-3393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RETTELL",
        "first_name": "CHASSIDY",
        "middle_name": "ELIZABETH",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-15",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "SC",
            "license": "PTA.4542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith Charles Player, MD
• Victoria Poole
• Pure Serenity Consultant and Counseling Services, LLC
• Tyler Campbell Rasberry, PTA
• RB Express LLC
• Amber Holloway Rodgers
• Jessica Rohletter, COTA/L
• Rural Health Providers LLC
• S.C. (South Carolina) Aging Matters Consultancy ,LLC
• Heather Renea Sather, COTA/L

• Physical Therapy Assistant in Darlington, SC
• Providers in Darlington, SC by specialty
• Physical Therapy Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; 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.