Active NPI
Samir Vaid, D.P.T
- Physical Therapist
- MC Cormick, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6730
- Practice address
- 204 Holiday Rd
MC Cormick, SC 29835-3429 - Phone
- (706) 825-8059
- NPI assigned
- Jul 5, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT010338 | GA | |
| Physical Therapist | 225100000X | 6730 | SC | Primary |
Addresses
Primary practice location
204 Holiday Rd
MC Cormick, SC 29835-3429
Mailing address
167 Durst Dr
North Augusta, SC 29860-8210
Phone (706) 825-8059
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, SC
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110816000161 | GA | Practitioner - Physical Therapist in Private Practice | 6406025022 | Reassigns benefits to 3 organizations |
| I20161216000512 | SC | Practitioner - Physical Therapist in Private Practice | 6406025022 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Medical College of Georgia School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Proactive Rehabilitation and Wellness LLCAegis Group Practice LLC
Practice addresses (Care Compare)
2103 Reedale Ave
Augusta, GA 30906-3430
Phone (706) 814-6887
3335 Wise Creek LN
Aiken, SC 29801-2509
Phone (839) 868-9922
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT010338 | GA | MD | Physical Therapist |
| 6730 | SC | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proactive Rehabilitation & Wellness LLC | Physical Therapist | Current | Accepting new patients |
| Advanced Pain Management, P.C. | Current | Accepting new patients | |
| Select Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
| Proactive Physical Therapy and Rehabilitation LLC | Physical Therapist | Current | Accepting new patients |
| Evans Procedure Center, LLC | Past | Accepting new patients |
Locations
2103 Reedale Ave
Augusta, GA 30906
Phone (706) 414-5058
404 Town Park Blvd
Ste 101
Evans, GA 30809
Phone (706) 364-5065
2450 Buford Dr
Lawrenceville, GA 30043
Phone (470) 712-5883
7300 Spalding Dr
Peachtree Corners, GA 30092
Phone (404) 436-2202
Organizations & group practices 29
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.
-
- Occupational Therapist
- Augusta, GA
- NPI 1518577733
GA, Physical Therapist
-
- Rehabilitation Clinic/Center
- Glenview, IL
- NPI 1346368248
GA, Physical Therapist
-
- Physical Therapist
- Virginia Beach, VA
- NPI 1043966864
-
- Physical Therapist
- Indianapolis, IN
- NPI 1083227169
-
- Physical Therapist
- Mansfield, OH
- NPI 1093389751
-
- Physical Therapist
- Germantown, TN
- NPI 1174308647
-
- Physical Therapist
- Lisle, IL
- NPI 1275259798
-
- Physical Therapist
- Murray, UT
- NPI 1275304495
-
- Physical Therapist
- Suwanee, GA
- NPI 1295412773
-
- Physical Therapist
- Onalaska, WI
- NPI 1306336565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543795200000",
"number": "1497042980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "167 DURST DR",
"city": "NORTH AUGUSTA",
"state": "SC",
"postal_code": "298608210",
"telephone_number": "706-825-8059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 HOLIDAY RD",
"city": "MC CORMICK",
"state": "SC",
"postal_code": "298353429",
"telephone_number": "706-825-8059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAID",
"first_name": "SAMIR",
"name_prefix": "Dr.",
"credential": "D.P.T",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-05",
"last_updated": "2018-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT010338",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "6730",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in MC Cormick, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2018; 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.