Individual provider Active NPI

Mitchell Hanks, DPT

  • Physical Therapist
  • Cayce, SC
National Provider Identifier
1538766522
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10423 Issued in SC
Practice address
3799 12TH Street Ext Ste 100
Cayce, SC 29033-3750
Phone
(803) 926-6810
NPI assigned
Oct 3, 2020
Last updated
Feb 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 10423 SC Primary

Addresses

Primary practice location

3799 12TH Street Ext Ste 100
Cayce, SC 29033-3750

Mailing address

PO Box 6069
West Columbia, SC 29171-6069
Phone (803) 935-8292

Other practice location 1

3250 Harden Street Ext Ste 100
Columbia, SC 29203-6842
Phone (803) 509-6389

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201019003119 SC Practitioner - Physical Therapist in Private Practice 5193145803 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.09 of 100Reported as group
Quality
68.87
Promoting interoperability
100
Improvement activities
40
Cost
78.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10423SCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Trifit Performance Current Accepting new patients
Drayer Physical Therapy - South Carolina, LLC Physical Therapist CurrentSince Oct 5, 2020 Accepting new patients
Lexington Health Inc CurrentSince Jan 24, 2022 Accepting new patients
Lexington Health Inc Current Accepting new patients
Drayer Physical Therapy-South Carolina, LLC Physical Therapist CurrentSince Oct 5, 2020 Accepting new patients
Lexington Health Inc CurrentSince Jan 24, 2022 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

3799 12th Street Ext
Ste 100
Cayce, SC 29033
Phone (803) 926-6810

3250 Harden Street Ext
Ste 100
Columbia, SC 29203
Phone (803) 509-6389

7585 Saint Andrews Rd
Irmo, SC 29063
Phone (803) 749-5031

811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230

123 E Medical Ln
West Columbia, SC 29169
Phone (803) 791-2397

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1601683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1538766522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6069",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291716069",
            "telephone_number": "803-935-8292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3799 12TH STREET EXT STE 100",
            "city": "CAYCE",
            "state": "SC",
            "postal_code": "290333750",
            "telephone_number": "803-926-6810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3250 Harden Street Ext Ste 100",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292036842",
            "country_code": "US",
            "telephone_number": "803-509-6389",
            "fax_number": "803-760-7475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANKS",
        "first_name": "MITCHELL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-03",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "10423",
            "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 Feb 18, 2025; 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.