Individual provider Active NPI

Dennis C Ostrander, MS, PT

  • Physical Therapist
  • York, SC
National Provider Identifier
1598769085
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6597 Issued in SC
Practice address
821 Liberty St E Ste D
York, SC 29745-2239
Phone
(803) 818-5578
Fax
(803) 818-5887
NPI assigned
Jun 13, 2005
Last updated
Oct 2, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 020670 NY
Physical Therapist 225100000X 13551 NC
Physical Therapist 225100000X 6597 SC Primary

Addresses

Primary practice location

821 Liberty St E Ste D
York, SC 29745-2239

Mailing address

PO Box 392573
Pittsburgh, PA 15251-1661
Phone (864) 834-9701

Other identifiers 1

IdentifierTypeStateIssuer
02250544MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191119002287 SC Practitioner - Physical Therapist in Private Practice 8325085830 Reassigns benefits to 1 organization
I20201202002502 NC Practitioner - Physical Therapist in Private Practice 8325085830 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Black Mountain Physical Therapy LLCGroup PAC ID 4385896349, 10 clinicians

Practice addresses (Care Compare)

206 Springcrest Dr
Fort Mill, SC 29715-7306
Phone (803) 547-8128

997 Old US 70
Suite D
Black Mountain, NC 28711-4505
Phone (828) 669-6896

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
13551NCMDSpeech-Language Pathologist
6597SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Rehabilitation and Health Services of South Carolina, LLC Physical Therapist CurrentSince Aug 31, 2019 Accepting new patients

Locations

8215 W 108th Ter
Overland Park, KS 66210

430 Innovation Dr
Blairsville, PA 15717

206 Springcrest Dr
Fort Mill, SC 29715
Phone (803) 547-8128

821 Liberty St E
Ste D
York, SC 29745
Phone (803) 818-5578

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, 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": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1598769085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 392573",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152511661",
            "telephone_number": "864-834-9701",
            "fax_number": "864-676-1468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 LIBERTY ST E STE D",
            "city": "YORK",
            "state": "SC",
            "postal_code": "297452239",
            "telephone_number": "803-818-5578",
            "fax_number": "803-818-5887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTRANDER",
        "first_name": "DENNIS",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "MS, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "020670",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "13551",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "6597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02250544",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in York, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.