Active NPI
Mary Ann Sims, PT
- Physical Therapist
- Goose Creek, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8651
- Practice address
- 217A Saint James Ave
Goose Creek, SC 29445-2990 - Phone
- (843) 277-6232
- NPI assigned
- Jun 22, 2017
- Sex
- Female
- Sole proprietor
- No
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 Therapist | 225100000X | 8651 | SC | Primary |
Addresses
Primary practice location
217A Saint James Ave
Goose Creek, SC 29445-2990
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2222
Other practice location 1
501 Forest Ln Ste A
Clemson, SC 29631-2621
Phone (864) 654-2001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8651 | Other | SC | SC PT LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
501 Forest LN
Suite a
Clemson, SC 29631-2621
Phone (864) 654-2001
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8651 | SC | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RSFH - Ati Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| RSFH - Ati Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Excel Rehabilitation and Sports | Physical Therapist | Current | Accepting new patients |
| Excel Rehabilitation and Sports | Physical Therapist | Current | Accepting new patients |
| Private Therapy Services LLC | Physical Therapist | Current | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
33299 Collection Ctr Dr
Chicago, IL 60693
445 Savannah Hwy
Charleston, SC 29407
Phone (843) 766-2121
1941 Savage Rd
Ste 300A
Charleston, SC 29407
Phone (843) 402-1495
501 Forest Ln
Ste A
Clemson, SC 29631
Phone (864) 654-2001
1664 E Main St
Easley, SC 29640
Phone (864) 654-2001
217A Saint James Ave
Goose Creek, SC 29445
Phone (843) 277-6232
103 Halton Rd
#B
Greenville, SC 29607
Phone (864) 336-8599
9241 University Blvd
Ste B1
North Charleston, SC 29406
Phone (843) 414-1140
11091 N Radio Station Rd
Seneca, SC 29678
Phone (864) 654-2001
Organizations & group practices 5
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 Therapist
- Clemson, SC
- NPI 1740358324
-
- Physical Therapist
- Charleston, SC
- NPI 1346381092
-
- Physical Therapist
- Charleston, SC
- NPI 1912378365
-
- Physical Therapist
- Greenville, SC
- NPI 1952272379
-
- Durable Medical Equipment & Medical Supplies
- North Charleston, SC
- NPI 1689405664
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739923200000",
"number": "1609396597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909",
"telephone_number": "630-296-2222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "217A SAINT JAMES AVE",
"city": "GOOSE CREEK",
"state": "SC",
"postal_code": "294452990",
"telephone_number": "843-277-6232"
}
],
"practiceLocations": [
{
"address_1": "501 Forest Ln Ste A",
"address_purpose": "LOCATION",
"city": "Clemson",
"state": "SC",
"postal_code": "296312621",
"country_code": "US",
"telephone_number": "864-654-2001",
"fax_number": "800-305-7112",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIMS",
"first_name": "MARY",
"middle_name": "ANN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-22",
"last_updated": "2025-02-19",
"certification_date": "2025-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "8651",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SC PT LICENSE",
"identifier": "8651",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Goose Creek, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; 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.