Jaime Meredith Giannattasio, DPT
Individual provider Active NPI Physical Therapist · York, SC
NPI 1609995406 · NPPES record last updated Dec 15, 2025
Key facts
- NPI
- 1609995406
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 8082 (SC)
- Practice address
- 821 Liberty St E Ste D
York, SC 29745-2239 - Phone
- (803) 818-5578
- NPI assigned
- Mar 29, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Phoenix Rehabilitation and Health Services of South Carolina LLC
Practice addresses (Care Compare)
821 E Liberty St
Suite D
York, SC 29745-2239
Phone (803) 818-5578
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NC, SC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160615001093 | NC | Practitioner - Physical Therapist in Private Practice | 8022109842 | Reassigns benefits to 1 organization |
| I20231026000132 | SC | Practitioner - Physical Therapist in Private Practice | 8022109842 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P16182 | NC | MD | Physical Therapist |
| 8082 | SC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Black Mountain Physical Therapy, LLC | Physical Therapist | Current |
Accepting new patients |
| Phoenix Rehabilitation and Health Services of South Carolina, LLC | Physical Therapist | Current |
Accepting new patients |
| Phoenix Rehabilitation and Health Services of North Carolina, LLC | Physical Therapist | Past |
Accepting new patients |
Locations
8215 W 108th Ter
Overland Park, KS 66210
997 Old US Hwy 70 W
Ste D
Black Mtn, NC 28711
Phone (828) 669-6896
10610 Metromont Pkwy
Ste 108
Charlotte, NC 28269
Phone (980) 938-0693
206 Springcrest Dr
Fort Mill, SC 29715
Phone (803) 547-8128
821 Liberty St E
Ste D
York, SC 29745
Phone (803) 818-5578
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 028685 | NY | |
| Physical Therapist | 225100000X | P16182 | NC | |
| Physical Therapist | 225100000X | 8082 | SC | Yes |
Addresses
Primary practice location
821 Liberty St E Ste D
York, SC 29745-2239
Mailing address
PO Box 392573
Pittsburgh, PA 15251-9573
Phone (724) 343-4060
Other practice location 1
475 Northern Blvd
Suite 11
Great Neck, NY 11021-4802
Phone (516) 466-7720
Other practice location 2
206 Springcrest Dr
Fort Mill, SC 29715-7306
Phone (803) 547-8128
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service | Other | eSolutions Inc |
Other providers in York, SC
- Cheri S. Flanagan
- Lisa J. Fowler
- Ndemazia N Fualefock
- Elizabeth Garcia
- Darlene Metcalf Gardiner
- Gir Guy LLC
- Elizabeth McElroy Girard
- Goodbridge LLC
- Daniel Gray
- Lori M Gray
All providers in York, SC · Physical Therapist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.