Individual provider Active NPI

Harry Brown Dinwiddie, DPT, MAT, CYT

  • Physical Therapist
  • Summerville, SC
National Provider Identifier
1679976609
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7476 Issued in SC
Practice address
10040 Dorchester Rd Ste 106&107
Summerville, SC 29485-8533
Phone
(843) 875-4770
Fax
(843) 875-4396
NPI assigned
Oct 5, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2023

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 7476 SC Primary

Addresses

Primary practice location

10040 Dorchester Rd Ste 106&107
Summerville, SC 29485-8533

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (866) 370-8206

Other practice location 1

9512 Dorchester Rd Ste 140
Summerville, SC 29485-4305
Phone (843) 695-7970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170316000222 SC Practitioner - Physical Therapist in Private Practice 2567747496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Medical University of South Carolina College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lowcountry Rehabilitation LPGroup PAC ID 4082770508, 4 clinicians

Practice addresses (Care Compare)

416 Robertson Blvd
Suite a
Walterboro, SC 29488-2952
Phone (843) 538-2055

Merit-based Incentive Payment System (MIPS)

Final score
86.49 of 100Reported as group
Quality
89.43
Improvement activities
40
Cost
74.33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7476SCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lowcountry Rehabilitation LP Physical Therapist CurrentSince Jul 22, 2024 Accepting new patients

Locations

416 Robertson Blvd
Ste A
Walterboro, SC 29488
Phone (843) 538-2055

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": "1412467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1679976609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "866-370-8206",
            "fax_number": "517-435-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10040 DORCHESTER RD STE 106&107",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294858533",
            "telephone_number": "843-875-4770",
            "fax_number": "843-875-4396"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9512 Dorchester Rd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Summerville",
            "state": "SC",
            "postal_code": "294854305",
            "country_code": "US",
            "telephone_number": "843-695-7970",
            "fax_number": "843-695-7971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DINWIDDIE",
        "first_name": "HARRY",
        "middle_name": "BROWN",
        "name_prefix": "Dr.",
        "credential": "DPT, MAT, CYT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-05",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "7476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; 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.