Active NPI
Therese Day, PTA
- Physical Therapy Assistant
- North Charleston, SC
National Provider Identifier
1609289271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2850
- Practice address
- 4401 Belle Oaks Dr
Suite 280
North Charleston, SC 29405-8537 - Phone
- (866) 571-2700
- NPI assigned
- Jun 11, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- N Charleston, SC
- NPI 1548699366
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 |
|---|---|---|---|
| 2850 | SC | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Supplemental Health Care | Past | Accepting new patients |
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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2850 | SC | Primary |
Addresses
Primary practice location
4401 Belle Oaks Dr
Suite 280
North Charleston, SC 29405-8537
Mailing address
4401 Belle Oaks Dr
Suite 280
North Charleston, SC 29405-8537
Phone (866) 571-2700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2850 | Other | SC | STATE LICENSE |
Other names 1
- Therese Ann Terrell
NPI Registry JSON
{
"created_epoch": "1402444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459296000000",
"number": "1609289271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4401 BELLE OAKS DR",
"address_2": "SUITE 280",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294058537",
"telephone_number": "866-571-2700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4401 BELLE OAKS DR",
"address_2": "SUITE 280",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294058537",
"telephone_number": "866-571-2700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAY",
"first_name": "THERESE",
"name_prefix": "Mrs.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-11",
"last_updated": "2016-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "SC",
"license": "2850",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "2850",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "THERESE",
"last_name": "TERRELL",
"middle_name": "ANN",
"credential": "PTA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in North Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.