Individual provider Active NPI

Elizabeth Ballenger Chase, PT, DPT

  • Physical Therapist
  • Florence, SC
National Provider Identifier
1578594875
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5306 Issued in SC
Practice address
610 W Palmetto St
Florence, SC 29501-4302
Phone
(843) 407-0377
Fax
(843) 799-1944
NPI assigned
Jul 5, 2006
Last updated
Sep 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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 5306 SC Primary

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 1

  • Elizabeth Mason Ballenger Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070410000576 SC Practitioner - Physical Therapist in Private Practice 2062517600 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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 LLCGroup PAC ID 8820307580, 18 clinicians

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5306SCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Ih3 Physcial Therapy Physical Therapist CurrentSince Aug 1, 2022 Accepting new patients
Pro-Motion Physical Therapy of Florence, SC, LLC Physical Therapist CurrentSince Aug 8, 2022 Accepting new patients
Rehabilitation Centers of Charleston, LLC Physical Therapist Past Accepting new patients
Rehabilitation Centers of Charleston 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

Organizations & group practices 4

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1578594875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6526",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292606526",
            "telephone_number": "803-693-5040",
            "fax_number": "803-993-9472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 W PALMETTO ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014302",
            "telephone_number": "843-407-0377",
            "fax_number": "843-799-1944"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "148 Sauls St Ste B",
            "address_purpose": "LOCATION",
            "city": "Lake City",
            "state": "SC",
            "postal_code": "295602677",
            "country_code": "US",
            "telephone_number": "843-374-0185",
            "fax_number": "843-374-0189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHASE",
        "first_name": "ELIZABETH",
        "middle_name": "BALLENGER",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "5306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "BALLENGER",
            "middle_name": "MASON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.