Active NPI
Elizabeth Wherley Regan, PT
- Physical Therapist
- Cayce, SC
National Provider Identifier
1518905769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8515
- Practice address
- 1105 12TH St
Cayce, SC 29033-3304 - Phone
- (803) 973-0100
- Fax
- (803) 973-0117
- NPI assigned
- Jun 2, 2006
- Sex
- Female
- 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 | P10423 | NC | |
| Physical Therapist | 225100000X | 8515 | SC | Primary |
Addresses
Primary practice location
1105 12TH St
Cayce, SC 29033-3304
Mailing address
1105 12TH St
Cayce, SC 29033-3304
Phone (803) 973-0100
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 |
|---|---|---|---|
| 8515 | SC | MD | Professional Counselor |
| P10423 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632787200000",
"number": "1518905769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1105 12TH ST",
"city": "CAYCE",
"state": "SC",
"postal_code": "290333304",
"telephone_number": "803-973-0100",
"fax_number": "803-973-0117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1105 12TH ST",
"city": "CAYCE",
"state": "SC",
"postal_code": "290333304",
"telephone_number": "803-973-0100",
"fax_number": "803-973-0117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REGAN",
"first_name": "ELIZABETH",
"middle_name": "WHERLEY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-02",
"last_updated": "2021-09-28",
"certification_date": "2021-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P10423",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "8515",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cayce, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.