Individual provider Active NPI

Melissa Langston, RPT

  • Physical Therapist
  • Mt Pleasant, SC
National Provider Identifier
1609942291
Registry record updated Sep 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1720 Issued in SC
Practice address
1106 Chuck Dawley Blvd
Mt Pleasant, SC 29464-4183
Phone
(843) 388-0015
Fax
(843) 388-0017
NPI assigned
Nov 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1720 SC Primary

Addresses

Primary practice location

1106 Chuck Dawley Blvd
Mt Pleasant, SC 29464-4183

Mailing address

1106 Chuck Dawley Blvd
Suite 200
Mt Pleasant, SC 29464-4183
Phone (843) 388-0015

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1720SCMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Rehabilitation Group, LLC Physical Therapist PastSince Aug 30, 2010 Accepting new patients
Physical Rehabilitation Group Physical Therapist Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505260800000",
    "number": "1609942291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 CHUCK DAWLEY BLVD",
            "address_2": "SUITE 200",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294644183",
            "telephone_number": "843-388-0015",
            "fax_number": "843-388-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 CHUCK DAWLEY BLVD",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294644183",
            "telephone_number": "843-388-0015",
            "fax_number": "843-388-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGSTON",
        "first_name": "MELISSA",
        "name_prefix": "Miss",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-27",
        "last_updated": "2017-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "1720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.