Active NPI
Susan Elizabeth Pantone, P.T.
- Physical Therapist
- North Charleston, SC
National Provider Identifier
1548465768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 949
- Practice address
- 1273 Remount Rd
North Charleston, SC 29406-3439 - Phone
- (843) 200-1878
- Fax
- (843) 821-2567
- NPI assigned
- Jun 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 949 | SC | Primary |
Addresses
Primary practice location
1273 Remount Rd
North Charleston, SC 29406-3439
Mailing address
140 Brandywine Dr
Summerville, SC 29485-8001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 96.6 of 100
- Promoting interoperability
- 96
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 949 | SC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Carolina Sports Medicine & Orthopaedic Center | Current | Accepting new patients | |
| NPI 1639452840 | Physical Therapist | Current | Accepting new patients |
| Pearl Rehabilitation LLC | Physical Therapist | Past | Accepting new patients |
Locations
9100 Medcom St
North Charleston, SC 29406
Phone (843) 569-3367
2760 Tricom St
North Charleston, SC 29406
Phone (843) 300-8585
Interoperability endpoints
- https://api.platform.athenahealth.com/1516/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- N Charleston, SC
- NPI 1922111715
-
- Physical Therapy Assistant
- N Charleston, SC
- NPI 1962635656
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1548465768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 BRANDYWINE DR",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294858001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1273 REMOUNT RD",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294063439",
"telephone_number": "843-200-1878",
"fax_number": "843-821-2567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANTONE",
"first_name": "SUSAN",
"middle_name": "ELIZABETH",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "949",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.