Active NPI
Amy Seymour, PT
- Pediatric Physical Therapist
- Ladson, SC
National Provider Identifier
1568987147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 5487
- Practice address
- 9565 Highway 78 BLDG 700
Ladson, SC 29456-4116 - Phone
- (843) 513-7746
- NPI assigned
- Aug 4, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 5487 | SC | Primary |
Addresses
Primary practice location
9565 Highway 78 BLDG 700
Ladson, SC 29456-4116
Mailing address
1508 Heron Ave
Mount Pleasant, SC 29464-3906
Phone (843) 513-7746
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TH3690 | Medicaid | SC | |
| 14084422 | Other | CAQH |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5487 | SC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763337600000",
"number": "1568987147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1508 HERON AVE",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294643906",
"telephone_number": "843-513-7746",
"fax_number": "843-569-4535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9565 HIGHWAY 78 BLDG 700",
"city": "LADSON",
"state": "SC",
"postal_code": "294564116",
"telephone_number": "843-513-7746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEYMOUR",
"first_name": "AMY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-04",
"last_updated": "2025-11-17",
"certification_date": "2025-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "SC",
"license": "5487",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "TH3690",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "14084422",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ladson, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.