Active NPI
David Morrisetle, P.T. PHYSICAL THERAP
- Physical Therapist
- Mount Pleasant, SC
National Provider Identifier
1639185994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1261
- Practice address
- 607 A Jonnie Dodds Blvd
Mt. Pleasant, SC 29464 - Phone
- (843) 884-7880
- Fax
- (843) 884-6635
- NPI assigned
- Jul 31, 2006
- Sex
- Male
- 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 | 1261 | SC | Primary |
Addresses
Primary practice location
607 A Jonnie Dodds Blvd
Mt. Pleasant, SC 29464
Mailing address
586 Lone Tree Dr
Mt Pleasant, SC 29464
Phone (843) 884-7880
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1261 | SC | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabilitation Centers of Charleston, LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Mount Pleasant, SC
- NPI 1205842762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191456000000",
"number": "1639185994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "586 LONE TREE DR",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "29464",
"telephone_number": "843-884-7880",
"fax_number": "843-884-6635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "607 A JONNIE DODDS BLVD",
"city": "MT. PLEASANT",
"state": "SC",
"postal_code": "29464",
"telephone_number": "843-884-7880",
"fax_number": "843-884-6635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRISETLE",
"first_name": "DAVID",
"name_prefix": "Mr.",
"credential": "P.T. PHYSICAL THERAP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2007-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "1261",
"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 Oct 4, 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.