Active NPI
Herbert Victor Carmichael III, P.T.
- Physical Therapist
- Myrtle Beach, SC
National Provider Identifier
1508299702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7017
- Practice address
- 100 Prather Park Dr
Suite a
Myrtle Beach, SC 29588-7910 - Phone
- (843) 742-5701
- Fax
- (843) 742-5704
- NPI assigned
- Aug 12, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 7017 | SC | Primary |
Addresses
Primary practice location
100 Prather Park Dr
Suite a
Myrtle Beach, SC 29588-7910
Mailing address
100 Prather Park Dr
Suite a
Myrtle Beach, SC 29588-7910
Phone (843) 742-5701
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7017 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Tennessee Spine & Sport Inc | Physical Therapist | Past | Accepting new patients |
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.
-
- Physical Therapist
- Knoxville, TN
- NPI 1023101144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376265600000",
"number": "1508299702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 PRATHER PARK DR",
"address_2": "SUITE A",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295887910",
"telephone_number": "843-742-5701",
"fax_number": "843-742-5704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 PRATHER PARK DR",
"address_2": "SUITE A",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295887910",
"telephone_number": "843-742-5701",
"fax_number": "843-742-5704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARMICHAEL",
"first_name": "HERBERT",
"middle_name": "VICTOR",
"name_suffix": "III",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-12",
"last_updated": "2013-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "7017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Myrtle Beach, SC
- Carehere, LLC
- Carey Counseling, LLC
- Victoria Carey, MSW, LISW-CP
- Michael Carge, D.O.
- Caring Hands Home Care LLC USA
- Debra Anne Carnosso, LCSW-R AND LISW-CP
- Carolina Bone & Joint Surgery Center
- Carolina Clinic of Chiropractic, LLC
- Carolina Coastal Family Medicine PA
- Carolina Coastal Plastic and Reconstructive Surgery, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.