Individual provider Active NPI

Marcella White

  • Physical Therapist
  • Mt Pleasant, SC
National Provider Identifier
1689995698
Registry record updated Mar 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4349 Issued in SC
Practice address
180 Wingo Way
Ste. 303
Mt Pleasant, SC 29464-1810
Phone
(843) 972-0940
NPI assigned
Jun 14, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2017

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 4349 SC Primary

Addresses

Primary practice location

180 Wingo Way
Ste. 303
Mt Pleasant, SC 29464-1810

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223

Other names 1

  • Marcella Tereschuk Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110830000064 SC Practitioner - Physical Therapist in Private Practice 4486824521 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RSFH - Ati Physical Therapy LLCGroup PAC ID 3375849946, 98 clinicians

Practice addresses (Care Compare)

1909 N Hwy 17
Suite Q
Mount Pleasant, SC 29464-7460
Phone (843) 416-9026

910 Johnnie Dodds Blvd
Suite 140
Mt Pleasant, SC 29464-5909
Phone (843) 972-0940

9241 University Blvd
Suite B1
North Charleston, SC 29406-9349
Phone (843) 764-4887

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
4349SCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Greenville Proaxis Therapy, LLC Physical Therapist CurrentSince May 11, 2023 Accepting new patients
Greenville Proaxis Therapy LLC CurrentSince May 11, 2023 Accepting new patients
RSFH - Ati Physical Therapy, LLC Physical Therapist CurrentSince Sep 1, 2017 Accepting new patients
RSFH - Ati Physical Therapy, LLC Physical Therapist CurrentSince Sep 1, 2017 Accepting new patients

Locations (25 of 27)

790 Remington Blvd
Bolingbrook, IL 60440

33299 Collection Ctr Dr
Chicago, IL 60693

33205 Collection Ctr Dr
Chicago, IL 60693

325 Folly Rd
Ste 107
Charleston, SC 29412
Phone (843) 762-0147

5400 International Blvd
Bldg 8821
Charleston, SC 29418
Phone (843) 763-4115

1730 Savannah Hwy
Charleston, SC 29407
Phone (843) 763-4115

1941 Savage Rd
Ste 300A
Charleston, SC 29407
Phone (843) 402-1495

900 Island Park Dr
Ste 108
Daniel Island, SC 29492
Phone (843) 284-5285

103 N Main St
Ste 201
Greenville, SC 29601
Phone (864) 528-5753

4237 River Hills Dr
Ste 110
Little River, SC 29566
Phone (843) 467-8032

4237 River Hills Dr
Ste 120
Little River, SC 29566
Phone (843) 249-5616

116 Foxbank Plantation Blvd
Ste E
Moncks Corner, SC 29461
Phone (843) 761-4622

405 Faison Rd
Ste 105
Mount Pleasant, SC 29466
Phone (843) 352-2935

910 Johnnie Dodds Blvd
Ste 140
Mt Pleasant, SC 29464
Phone (843) 972-0940

180 Wingo Way
Ste 303
Mt Pleasant, SC 29464
Phone (843) 972-0940

586 Lone Tree Dr
Mt Pleasant, SC 29464
Phone (843) 884-7880

1909 N Highway 17
Ste Q
Mt Pleasant, SC 29464
Phone (843) 416-9026

5046 Highway 17 Byp S
Ste 201
Myrtle Beach, SC 29588
Phone (843) 668-4329

8161 Rourk St
Myrtle Beach, SC 29572
Phone (843) 449-3685

9241 University Blvd
Ste B1
North Charleston, SC 29406
Phone (843) 414-1140

2070 Northbrook Blvd
Ste A9
North Charleston, SC 29406
Phone (843) 377-0268

5401 Netherby Ln
Ste 300
North Charleston, SC 29420
Phone (843) 225-5211

9241 University Blvd
Ste A
North Charleston, SC 29406
Phone (843) 414-1140

8950 University Blvd
Ste 200A
North Charleston, SC 29406
Phone (843) 414-1140

606 Nexton Square Dr
Ste 304
Summerville, SC 29486
Phone (843) 376-5963

Organizations & group practices 4

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": "1276473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490918400000",
    "number": "1689995698",
    "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": "630-296-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 WINGO WAY",
            "address_2": "STE. 303",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294641810",
            "telephone_number": "843-972-0940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "MARCELLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-14",
        "last_updated": "2017-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "4349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARCELLA",
            "last_name": "TERESCHUK",
            "code": "1",
            "type": "Former 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 Mar 31, 2017; 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.