Michael Shane Bushman, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

7644 Issued in SC

Practice address

610 W Palmetto St
Florence, SC 29501-4302

Phone

(843) 407-0377

Fax

(843) 799-1944

NPI assigned

Sep 4, 2019

Last updated

Jun 27, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ih3 Physcial Therapy

  dba CPM Physical Therapy

  • Physical Therapy Clinic/Center
  • Lake City, SC
  • NPI 1104145697

  Physical Therapist

  NPD
• LH Therapy, LLC

  dba Priority Physical Therapy

  • Physical Therapist
  • Florence, SC
  • NPI 1598583254
  NPD
• Pro-Motion Physical Therapy of Camden, SC, LLC

  • Physical Therapist
  • Camden, SC
  • NPI 1427630284
  NPD
• Pro-Motion Physical Therapy of Florence, SC, LLC

  dba ProMotion Rehab and Sports Medicine

  • Physical Therapist
  • Columbia, SC
  • NPI 1821474115
  NPD

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1528616455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6526",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292606526",
            "telephone_number": "803-693-5040",
            "fax_number": "803-993-9472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 W PALMETTO ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014302",
            "telephone_number": "843-407-0377",
            "fax_number": "843-799-1944"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 E Dekalb St # B",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "SC",
            "postal_code": "290204495",
            "country_code": "US",
            "telephone_number": "803-432-2432",
            "fax_number": "803-432-1779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUSHMAN",
        "first_name": "MICHAEL",
        "middle_name": "SHANE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-04",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "7644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Sinclair Burke, DO
• Lisa F Burkett, NCAC, CAC II, SAP
• Elizabeth Ackerman Burnett, OTR/L
• Kenneth Scott Burns Jr., MD
• Michael Thomas Burt, PHARMD
• Madison Lynn Byrd, MSW
• Maureen C. Byrd
• Byron R Navey PHD Inc
• C & C Diagnostics and Testing
• C and Q Group

• Physical Therapist in Florence, SC
• Providers in Florence, 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 Jun 27, 2023; 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.