NPIMap

Organization Active NPI

Drayer Physical Therapy-South Carolina, LLC

  • Physical Therapist
  • Bluffton, SC
National Provider Identifier
1588096093
Registry record updated Aug 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
DRAYER PHYSICAL THERAPY-SOUTH CAROLINA, LLC
Practice address
38 Sheridan Park Cir
Ste E
Bluffton, SC 29910-7022
Phone
(843) 815-5628
Fax
(843) 815-5637
NPI assigned
Aug 7, 2013
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Luke A Drayer
Title
Chairman and Ceo
Phone
(717) 220-2100

Other NPIs on the same Medicare enrollment 12

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131004000553 SC Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7315171394 Receives reassigned benefits from 292 practitioners
12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Irmo, SC; Lexington, SC; Elgin, SC; Columbia, SC; Chapin, SC; Cayce, SC; Camden, SC; Blythewood, SC

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

NPPES NPI Registry

Primary practice location

38 Sheridan Park Cir
Ste E
Bluffton, SC 29910-7022

Mailing address

38 Sheridan Park Cir
Ste E
Bluffton, SC 29910-7022
Phone (843) 815-5628

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 7, 2013.

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375833600000",
    "number": "1588096093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 SHERIDAN PARK CIR",
            "address_2": "STE E",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299107022",
            "telephone_number": "843-815-5628",
            "fax_number": "843-815-5637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 SHERIDAN PARK CIR",
            "address_2": "STE E",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299107022",
            "telephone_number": "843-815-5628",
            "fax_number": "843-815-5637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRAYER PHYSICAL THERAPY-SOUTH CAROLINA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-07",
        "last_updated": "2013-08-07",
        "status": "A",
        "authorized_official_last_name": "DRAYER",
        "authorized_official_first_name": "LUKE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHAIRMAN AND CEO",
        "authorized_official_telephone_number": "717-220-2100"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.