Organization Active NPI

Rome Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Mt Pleasant, SC
National Provider Identifier
1659919165
Registry record updated Dec 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ROME PHYSICAL THERAPY LLC
Practice address
1131 Queensborough Blvd Ste 101
Mt Pleasant, SC 29464-5430
Phone
(843) 790-5087
NPI assigned
Dec 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2019

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

Authorized official

Name
Angela Rome
Title
Physical Therapist
Phone
(843) 790-5087

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1131 Queensborough Blvd Ste 101
Mt Pleasant, SC 29464-5430

Mailing address

1263 White Tail Path
Charleston, SC 29414-9105

Other names 1

  • Rome Physical Therapy Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1576454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576454400000",
    "number": "1659919165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1263 WHITE TAIL PATH",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294149105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 QUEENSBOROUGH BLVD STE 101",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294645430",
            "telephone_number": "843-790-5087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROME PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-16",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A",
        "authorized_official_last_name": "ROME",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "843-790-5087"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rome Physical Therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Dec 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.