Individual provider Active NPI

Rhyno Coetsee, PT

  • Physical Therapist
  • Irmo, SC
National Provider Identifier
1477870806
Registry record updated Apr 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2940 Issued in SC
Practice address
108 Belfair Rd
Irmo, SC 29063-8040
Phone
(803) 361-6995
NPI assigned
Apr 25, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2010

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 2940 SC Primary

Addresses

Primary practice location

108 Belfair Rd
Irmo, SC 29063-8040

Mailing address

108 Belfair Rd
Irmo, SC 29063-8040
Phone (803) 361-6995

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200825002658 SC Practitioner - Physical Therapist in Private Practice 4981021706 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sprout Pediatrics LLC Physical Therapist CurrentSince Apr 24, 2020 Accepting new patients

Locations

147 Vera Rd
#D
Lexington, SC 29072
Phone (803) 629-1981

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": "1272153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272153600000",
    "number": "1477870806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 BELFAIR RD",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290638040",
            "telephone_number": "803-361-6995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 BELFAIR RD",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290638040",
            "telephone_number": "803-361-6995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COETSEE",
        "first_name": "RHYNO",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-25",
        "last_updated": "2010-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "2940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irmo, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.