Rachel Pendarvis Wiggins, PT, MHS

Primary specialty

SpecialistTaxonomy code 174400000X

License

2308 Issued in SC

Practice address

103 3Rd St E
Hampton, SC 29924-2511

Phone

(803) 943-3914

Fax

(803) 943-5131

NPI assigned

Jan 30, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Medical University of South Carolina College of Medicine, 1994

Medicare assignment

May accept Medicare assignment

Group practices

Carrie B. Benton, LLCGroup PAC ID 7719358266, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Carrie B. Benton, LLC

  dba Lowcountry Rehab

  • Physical Therapy Clinic/Center
  • Hampton, SC
  • NPI 1154032753
  Medicare reassignment Care Compare group NPD
• Lowcountry Rehab

  • Specialist
  • Hampton, SC
  • NPI 1245370725
  NPD Authorized official
• Rachel Wiggins, PC

  dba Lowcountry Rehab

  • Specialist
  • Hampton, SC
  • NPI 1386781417
  Authorized official Same address or phone

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1538205083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 3RD ST E",
            "city": "HAMPTON",
            "state": "SC",
            "postal_code": "299242511",
            "telephone_number": "803-943-3914",
            "fax_number": "803-943-5131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 3RD ST E",
            "city": "HAMPTON",
            "state": "SC",
            "postal_code": "299242511",
            "telephone_number": "803-943-3914",
            "fax_number": "803-943-5131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGGINS",
        "first_name": "RACHEL",
        "middle_name": "PENDARVIS",
        "credential": "PT, MHS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "SC",
            "license": "2308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TH0722",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP2068",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Price Matthew Watson, DMD
• Watt Consulting & Therapeutic Servicees
• Glenn Wesley Welcker, M.D.
• Mary Ann Westendorf, LISW-CP
• Jared M Whiteside, DDS
• Ja'Neisha Monique Williams, PHARMD
• Michelle A. Young, PA-C

• Specialist in Hampton, SC
• Providers in Hampton, SC by specialty
• Specialist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.

Verify at the official NPI Registry.