Individual provider Active NPI

Wehme Carolyn Hutto

  • Physical Therapist
  • Mt Pleasant, SC
National Provider Identifier
1619416336
Registry record updated Feb 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8495 Issued in SC
Practice address
1304 Erckmann Dr
Unit C
Mt Pleasant, SC 29464-5536
Phone
(843) 971-7668
Fax
(843) 971-7666
NPI assigned
Feb 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 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 8495 SC Primary

Addresses

Primary practice location

1304 Erckmann Dr
Unit C
Mt Pleasant, SC 29464-5536

Mailing address

5111 N Rhett Ave
North Charleston, SC 29405-4219

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170427002200 SC Practitioner - Physical Therapist in Private Practice 1759668809 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imagine Physical Therapy Old Village LLCGroup PAC ID 4587972450, 3 clinicians
Imagine Physical Therapy North Rhett LLCGroup PAC ID 4082939723, 2 clinicians

Practice addresses (Care Compare)

1304 Erckmann Dr
Suite C
Mt Pleasant, SC 29464-5536
Phone (843) 971-7668

5111 N Rhett Ave
North Charleston, SC 29405-4219
Phone (843) 352-4952

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8495SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Imagine Physical Therapy North Rhett LLC Physical Therapist CurrentSince Feb 20, 2017 Accepting new patients
Imagine Physical Therapy on Daniel Island LLC Physical Therapist CurrentSince May 24, 2017 Accepting new patients
Imagine Physical Therapy LLC Physical Therapist CurrentSince Feb 20, 2017 Accepting new patients
Imagine Physical Therapy Old Village LLC Physical Therapist CurrentSince Feb 20, 2017 Accepting new patients
Imagine Physical Therapy in West Ashley, LLC Physical Therapist CurrentSince May 24, 2017 Accepting new patients
Love of Language PastSince May 8, 2018 Accepting new patients

Locations

142 Sportsman Island Dr
Ste F
Charleston, SC 29492
Phone (843) 377-8820

2267 Ashley River Rd
Charleston, SC 29414
Phone (843) 576-4121

1304 Erckmann Dr
Ste C
Mt Pleasant, SC 29464
Phone (843) 804-9479

5111 N Rhett Ave
North Charleston, SC 29405
Phone (843) 352-4952

Organizations & group practices 6

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": "1487030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487635200000",
    "number": "1619416336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5111 N RHETT AVE",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294054219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 ERCKMANN DR",
            "address_2": "UNIT C",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294645536",
            "telephone_number": "843-971-7668",
            "fax_number": "843-971-7666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTTO",
        "first_name": "WEHME",
        "middle_name": "CAROLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-14",
        "last_updated": "2017-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "8495",
            "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 Feb 21, 2017; 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.