Active NPI
Marilyn McMillan Creech, RPT
- Physical Therapist
- Mullins, SC
National Provider Identifier
1659706125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 991
- Practice address
- 6002 Pauls Path Rd
Mullins, SC 29574-6732 - Phone
- (843) 464-0264
- NPI assigned
- Sep 3, 2013
- Last updated
- Sep 3, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | 991 | SC | Primary |
Addresses
Primary practice location
6002 Pauls Path Rd
Mullins, SC 29574-6732
Mailing address
6002 Pauls Path Rd
Mullins, SC 29574-6732
Phone (843) 464-0264
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378166400000",
"number": "1659706125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6002 PAULS PATH RD",
"city": "MULLINS",
"state": "SC",
"postal_code": "295746732",
"telephone_number": "843-464-0264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6002 PAULS PATH RD",
"city": "MULLINS",
"state": "SC",
"postal_code": "295746732",
"telephone_number": "843-464-0264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CREECH",
"first_name": "MARILYN",
"middle_name": "MCMILLAN",
"name_prefix": "Mrs.",
"credential": "RPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-03",
"last_updated": "2013-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "991",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mullins, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.