Individual provider Active NPI

Ellen Elizabeth Spiller, DPT

  • Physical Therapist
  • Irmo, SC
National Provider Identifier
1669792081
Registry record updated Feb 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7620 Issued in SC
Practice address
7467 St Andrews Road
Suite 9
Irmo, SC 29063-2876
Phone
(803) 749-5031
Fax
(803) 749-5032
NPI assigned
Jun 8, 2010
Last updated
Feb 12, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 7620 SC Primary
Pediatric Physical Therapist 2251P0200X 3108866 TX

Addresses

Primary practice location

7467 St Andrews Road
Suite 9
Irmo, SC 29063-2876

Mailing address

7467 St Andrews Road
Suite 9
Irmo, SC 29063-2876
Phone (803) 749-5031

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

LicenseStateTypeSpecialty
3108866TXMDPediatric Physical Therapist
7620SCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pro-Motion Physical Therapy of Florence, SC, 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.

NPI Registry JSON

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

{
    "created_epoch": "1275955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423699200000",
    "number": "1669792081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7467 ST ANDREWS ROAD",
            "address_2": "SUITE 9",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290632876",
            "telephone_number": "803-749-5031",
            "fax_number": "803-749-5032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7467 ST ANDREWS ROAD",
            "address_2": "SUITE 9",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290632876",
            "telephone_number": "803-749-5031",
            "fax_number": "803-749-5032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPILLER",
        "first_name": "ELLEN",
        "middle_name": "ELIZABETH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-08",
        "last_updated": "2015-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "7620",
            "primary": true
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "TX",
            "license": "3108866",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irmo, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; 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.