Active NPI
Victoria Elizabeth Connelly, PT
- Physical Therapist
- Mount Pleasant, SC
National Provider Identifier
1619066479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1375
- Practice address
- 570 Long Point Rd
Suite 270
Mount Pleasant, SC 24946 - Phone
- (843) 884-4783
- Fax
- (843) 884-4783
- NPI assigned
- Oct 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1375 | SC | Primary |
Addresses
Primary practice location
570 Long Point Rd
Suite 270
Mount Pleasant, SC 24946
Mailing address
8530 Doar Rd
Awendaw, SC 29429-6037
Phone (843) 884-4783
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Therapeutics, Inc | Past | Accepting new patients | |
| Coastal Therapeutics PA | 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.
-
- Physical Therapist
- Mount Pleasant, SC
- NPI 1275622029
-
- Durable Medical Equipment & Medical Supplies
- Foley, AL
- NPI 1699541516
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619066479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8530 DOAR RD",
"city": "AWENDAW",
"state": "SC",
"postal_code": "294296037",
"telephone_number": "843-884-4783",
"fax_number": "843-884-4783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "570 LONG POINT RD",
"address_2": "SUITE 270",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "24946",
"telephone_number": "843-884-4783",
"fax_number": "843-884-4783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNELLY",
"first_name": "VICTORIA",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "1375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.