Mary Culbertson Smith

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT8652 Issued in SC

Practice address

440 Old Trolley Rd Ste D
Summerville, SC 29485-5685

Phone

(843) 871-3522

NPI assigned

Jun 14, 2017

Last updated

Jul 21, 2022By 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

Other identifiers 1

Other names 1

• Mary Elizabeth Culbertson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1487184214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2695 ELMS PLANTATION BLVD STE C",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294067132",
            "telephone_number": "843-974-4097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 OLD TROLLEY RD STE D",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294855685",
            "telephone_number": "843-871-3522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2695 Elms Plantation Blvd Ste C",
            "address_purpose": "LOCATION",
            "city": "North Charleston",
            "state": "SC",
            "postal_code": "294067132",
            "country_code": "US",
            "telephone_number": "843-974-4097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARY",
        "middle_name": "CULBERTSON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-14",
        "last_updated": "2022-07-21",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "PT8652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC STATE LICENSING BOARD",
            "identifier": "PT8652",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "CULBERTSON",
            "middle_name": "ELIZABETH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Larissa L Smith, PT
• Larkin C Smith, MS, LAT, ATC, CSCS
• Laura McLaurin Smith, CCC-SLP
• Lindsay Bach Smith, M.S., CCC-SLP
• Lynn Thompson Smith, LPCA
• Patricia Smith, MT
• Shelby Nicole Smith, NCC, LPC
• Shonta Yvonne Smith, RN
• Ally Kiersten Knight Smoak, PA-C
• Kenny Snider, ATC

• Physical Therapist in Summerville, SC
• Providers in Summerville, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.