Elizabeth Ballenger Chase, PT, DPT
Individual provider Active NPI Physical Therapist · Florence, SC
NPI 1578594875 · NPPES record last updated Sep 10, 2024
Key facts
- NPI
- 1578594875
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5306 (SC)
- Practice address
- 610 W Palmetto St
Florence, SC 29501-4302 - Phone
- (843) 407-0377
- Fax
- (843) 799-1944
- NPI assigned
- Jul 5, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pro-Motion Physical Therapy of Florence SC LLC
Practice addresses (Care Compare)
148 Sauls St
Suite B
Lake City, SC 29560-2677
Phone (843) 374-0185
610 W Palmetto St
Florence, SC 29501-4302
Phone (843) 407-0377
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070410000576 | SC | Practitioner - Physical Therapist in Private Practice | 2062517600 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5306 | SC | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ih3 Physcial Therapy | Physical Therapist | Current |
Accepting new patients |
| Pro-Motion Physical Therapy of Florence, SC, LLC | Physical Therapist | Current |
Accepting new patients |
| Rehabilitation Centers of Charleston | Physical Therapist | Past | Accepting new patients |
| Rehabilitation Centers of Charleston, LLC | Physical Therapist | Past | Accepting new patients |
Locations
610 W Palmetto St
Florence, SC 29501
Phone (843) 407-0377
148 Sauls St
Ste B
Lake City, SC 29560
Phone (843) 374-0185
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5306 | SC | Yes |
Addresses
Primary practice location
610 W Palmetto St
Florence, SC 29501-4302
Mailing address
PO Box 6526
Columbia, SC 29260-6526
Phone (803) 693-5040
Other practice location 1
148 Sauls St Ste B
Lake City, SC 29560-2677
Phone (843) 374-0185
Other names
- Elizabeth Mason Ballenger
Other providers in Florence, SC
- Stephanie Chaney
- Bridget Shairell Chapman
- Constance Chapman
- John M. Chapman
- Steven F Chapman
- Anu Chaudhry
- Temujin Tom Chavez
- Carl Chelen
- Mitchel Chere
- Cherish in-Home Care LLC
All providers in Florence, SC · Physical Therapist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.