Individual provider Active NPI

Jaime Meredith Giannattasio, DPT

  • Physical Therapist
  • York, SC
National Provider Identifier
1609995406
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8082 Issued in SC
Practice address
821 Liberty St E Ste D
York, SC 29745-2239
Phone
(803) 818-5578
NPI assigned
Mar 29, 2007
Last updated
Dec 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 028685 NY
Physical Therapist 225100000X P16182 NC
Physical Therapist 225100000X 8082 SC Primary

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 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

821 E Liberty St
Suite D
York, SC 29745-2239
Phone (803) 818-5578

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P16182NCMDPhysical Therapist
8082SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Black Mountain Physical Therapy, LLC Physical Therapist CurrentSince May 15, 2023 Accepting new patients
Phoenix Rehabilitation and Health Services of South Carolina, LLC Physical Therapist CurrentSince Aug 13, 2023 Accepting new patients
Phoenix Rehabilitation and Health Services of North Carolina, LLC Physical Therapist PastSince May 15, 2023 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

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1609995406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 392573",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152519573",
            "telephone_number": "724-343-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 LIBERTY ST E STE D",
            "city": "YORK",
            "state": "SC",
            "postal_code": "297452239",
            "telephone_number": "803-818-5578"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "475 Northern Blvd",
            "address_2": "SUITE 11",
            "address_purpose": "LOCATION",
            "city": "Great Neck",
            "state": "NY",
            "postal_code": "110214802",
            "country_code": "US",
            "telephone_number": "516-466-7720",
            "fax_number": "516-466-7723",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "206 Springcrest Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Mill",
            "state": "SC",
            "postal_code": "297157306",
            "country_code": "US",
            "telephone_number": "803-547-8128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIANNATTASIO",
        "first_name": "JAIME",
        "middle_name": "MEREDITH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "028685",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P16182",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "8082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in York, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.

Verify at the official NPI Registry.