Active NPI
Timothy Michael Zgleszewski, M.D.
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- North Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 22912
- Practice address
- 2679 Lake Park Dr
North Charleston, SC 29406-9100 - Phone
- (843) 573-9997
- Fax
- (803) 470-4715
- NPI assigned
- Apr 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 78001 | GA | |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 22912 | SC | Primary |
| Interventional Pain Medicine Physician | 208VP0014X | 78001 | GA |
Addresses
Primary practice location
2679 Lake Park Dr
North Charleston, SC 29406-9100
Mailing address
PO Box 7227
West Columbia, SC 29171-7227
Phone (803) 218-9886
Other practice location 1
108 Montgomery Dr
Anderson, SC 29621-3334
Phone (864) 225-5597
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 400863 | Medicaid | SC | |
| T71703 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110818000640 | SC | Practitioner - Physical Medicine and Rehabilitation | 5698679561 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Temple University School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
108 Montgomery Dr
Anderson, SC 29621-3334
Phone (864) 225-5597
Hospital & facility affiliations
- Anmed Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Superior Pain Management PC | Current | Accepting new patients | |
| Active Life Health of Columbia, LLC | Current | Accepting new patients | |
| Vitality Medical Centers of Charleston Inc | Current | Accepting new patients | |
| East Coast Functional Medicine LLC | Current | Accepting new patients | |
| Active Life Health of Columbia, LLC | Current | Accepting new patients | |
| Hospital Authority of the City of Bainbridge and Decatur County | Interventional Pain Medicine | Past | Accepting new patients |
| Palmetto Health Alliance | Interventional Pain Medicine | Past | Accepting new patients |
| Northeastern Rehabilitation Associates, PC | Pain Medicine | Past | Accepting new patients |
Locations
108 Montgomery Dr
Anderson, SC 29621
Phone (864) 225-5597
2000 Center Point Rd
Ste 2360
Columbia, SC 29210
Phone (803) 233-5500
2679 Lake Park Dr
North Charleston, SC 29406
Phone (803) 218-9886
300 N Cedar St
Ste E
Summerville, SC 29483
Phone (843) 469-7222
Organizations & group practices 8
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 Medicine & Rehabilitation Physician
- Columbia, SC
- NPI 1104425529
SC
-
- Physical Medicine & Rehabilitation Physician
- Anderson, SC
- NPI 1811543879
SC
-
- Physical Medicine & Rehabilitation Physician
- North Charleston, SC
- NPI 1750820510
SC
-
- Durable Medical Equipment & Medical Supplies
- Columbia, SC
- NPI 1851990121
-
- Chiropractor
- Summerville, SC
- NPI 1932794906
-
- Interventional Pain Medicine Physician
- Columbia, SC
- NPI 1265527097
Interventional Pain Medicine
-
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
Interventional Pain Medicine
-
- Physical Medicine & Rehabilitation Physician
- Scranton, PA
- NPI 1104878412
Pain Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779926400000",
"number": "1609833516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7227",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291717227",
"telephone_number": "803-218-9886",
"fax_number": "803-470-4715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2679 LAKE PARK DR",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294069100",
"telephone_number": "843-573-9997",
"fax_number": "803-470-4715"
}
],
"practiceLocations": [
{
"address_1": "108 Montgomery Dr",
"address_purpose": "LOCATION",
"city": "Anderson",
"state": "SC",
"postal_code": "296213334",
"country_code": "US",
"telephone_number": "864-225-5597",
"fax_number": "864-516-8984",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZGLESZEWSKI",
"first_name": "TIMOTHY",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-26",
"last_updated": "2026-05-28",
"certification_date": "2026-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "GA",
"license": "78001",
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "SC",
"license": "22912",
"primary": true
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "GA",
"license": "78001",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "400863",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "T71703",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
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 May 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.