Individual provider Active NPI

Scott Stephenson, PT, DPT

  • Physical Therapist
  • Bluffton, SC
National Provider Identifier
1669805347
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10757 Issued in SC
Practice address
4810 Bluffton Pkwy Ste 102
Bluffton, SC 29910-4602
Phone
(843) 837-5236
Fax
(843) 837-1004
NPI assigned
Aug 16, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

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 10757 SC Primary

Addresses

Primary practice location

4810 Bluffton Pkwy Ste 102
Bluffton, SC 29910-4602

Mailing address

4810 Bluffton Pkwy Ste 102
Bluffton, SC 29910-4602
Phone (843) 837-5236

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171205002562 MD Practitioner - Physical Therapist in Private Practice 8022375708 Reassigns benefits to 1 organization
I20220912002611 SC Practitioner - Physical Therapist in Private Practice 8022375708 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Emory University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beaufort Orthopaedic Sports and Spine Center LLCGroup PAC ID 1355301771, 48 clinicians

Practice addresses (Care Compare)

39 Hospital Ctr CMNS
Hilton Head Island, SC 29926-2837
Phone (843) 681-2363

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10757SCMDMental Health Counselor
24650MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Golf Performance & Physical Therapy LLC Physical Therapist CurrentSince Jun 30, 2024 Accepting new patients
Bluffton Mobile Physical Therapy Physical Therapist CurrentSince Jul 26, 2022 Accepting new patients
Maryland Sportscare & Rehab, LLC Physical Therapist CurrentSince Sep 25, 2017 Accepting new patients
Maryland Sportscare & Rehab LLC Physical Therapist CurrentSince Sep 25, 2017 Accepting new patients
Beaufort Orthopaedic Sports and Spine Center LLC CurrentSince Dec 13, 2024 Accepting new patients
Beaufort Orthopaedic Sports and Spine Center LLC CurrentSince Dec 13, 2024 Accepting new patients
Physiotherapy Associates Inc Past Accepting new patients
Lifebridge Sports Medicine & Rehabilitation, LLC Past Accepting new patients

Locations

7080 Deepage Dr
Columbia, MD 21045
Phone (301) 498-2212

25 Main St
Ste A
Reisterstown, MD 21136
Phone (410) 833-8300

501 Fairmount Ave
Ste 302
Towson, MD 21286
Phone (410) 927-8768

1076 Ribaut Rd
Ste 101
Beaufort, SC 29902
Phone (843) 525-0045

39 Hospital Center Cmns
Hilton Head Island, SC 29926
Phone (843) 681-2363

Organizations & group practices 8

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": "1376611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1669805347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4810 BLUFFTON PKWY STE 102",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299104602",
            "telephone_number": "843-837-5236",
            "fax_number": "843-837-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4810 BLUFFTON PKWY STE 102",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299104602",
            "telephone_number": "843-837-5236",
            "fax_number": "843-837-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENSON",
        "first_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-16",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "10757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; 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.