Jared A Devita, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT.12347PT Issued in SC

Practice address

2586 S Highway 17 Unit C
Murrells Inlet, SC 29576-6605

Phone

(843) 651-6565

NPI assigned

Jan 16, 2023

Last updated

May 28, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Low Country Physical TherapyGroup PAC ID 4981664695, 10 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.19 of 100Reported as group

Quality

90.87

Improvement activities

40

Cost

72.8

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Low Country Physical Therapy

  • Physical Therapist
  • Murrells Inlet, SC
  • NPI 1639102312
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1609581412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2586 S HIGHWAY 17 UNIT C",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295766605",
            "telephone_number": "843-651-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2586 S HIGHWAY 17 UNIT C",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295766605",
            "telephone_number": "843-651-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVITA",
        "first_name": "JARED",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-16",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "PT.12347PT",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02114800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dental Professional of South Carolina, P.C. (Prince Creek Dental Care)
• Dermatology Associates of Waccamaw LLC
• Sloan Derrick
• Gail Marie Detjen, PT
• Allison Devaux, FNP
• Diabetes Center LLC
• Michele J Diamond, M.ED.,M.S./CAS, LPES
• Elizabeth Dixon
• Vinh Quang Doan, MD
• Doctors Care, P.a. (Doctors Care Murrells Inlet)

• Physical Therapist in Murrells Inlet, SC
• Providers in Murrells Inlet, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.