Individual provider Active NPI

Rebecca Dyches

  • Physical Therapist
  • Mount Pleasant, SC
National Provider Identifier
1467408096
Registry record updated Dec 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1331 Issued in SC
Practice address
311 Johnnie Dodds Blvd
Suite 111
Mt Pleasant, SC 29464-2975
Phone
(843) 553-7676
Fax
(843) 553-7747
NPI assigned
May 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 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 1331 SC Primary

Addresses

Primary practice location

311 Johnnie Dodds Blvd
Suite 111
Mt Pleasant, SC 29464-2975

Mailing address

311 Johnnie Dodds Blvd
Suite 111
Mt Pleasant, SC 29464-2975
Phone (843) 553-7676

Other names 1

  • Rebecca Dyches Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070110000459 SC Practitioner - Physical Therapist in Private Practice 2860492121 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

550 Long Point Rd
Suite 100
Mount Pleasant, SC 29464-8003
Phone (843) 416-8718

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1331SCMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rebeccas Physical Therapy Physical Therapist CurrentSince Jun 1, 2006 Accepting new patients

Locations

550 Long Point Rd
Ste 100
Mt Pleasant, SC 29464
Phone (843) 416-8718

311 Johnnie Dodds Blvd
Unit 111
Mt Pleasant, SC 29464
Phone (843) 416-8718

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448928000000",
    "number": "1467408096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 JOHNNIE DODDS BLVD",
            "address_2": "SUITE 111",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294642975",
            "telephone_number": "843-553-7676",
            "fax_number": "843-553-7747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 JOHNNIE DODDS BLVD",
            "address_2": "SUITE 111",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294642975",
            "telephone_number": "843-553-7676",
            "fax_number": "843-553-7747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYCHES",
        "first_name": "REBECCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2015-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "1331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "DYCHES",
            "credential": "PT, MS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Dec 1, 2015; 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.