Individual provider Active NPI

Nathaniel J Rossi, DC

  • Chiropractor
  • Mount Pleasant, SC
National Provider Identifier
1699329110
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4957 Issued in SC
Practice address
757 Long Point Rd Ste C
Mount Pleasant, SC 29464-8328
Phone
(843) 897-6745
NPI assigned
Aug 1, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4957 SC Primary

Addresses

Primary practice location

757 Long Point Rd Ste C
Mount Pleasant, SC 29464-8328

Mailing address

757 Long Point Rd Ste C
Mount Pleasant, SC 29464-8328
Phone (843) 897-6745

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
4957SCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Revive Chiropractic Chiropractor CurrentSince Aug 6, 2023 Accepting new patients
Rolando a. Toulon, DC, PA Chiropractor PastSince Aug 1, 2019 Accepting new patients
Thrive Spinal Care LLC Chiropractor PastSince Aug 1, 2019 Accepting new patients

Locations

757 Long Point Rd
Ste C
Mt Pleasant, SC 29464
Phone (843) 352-9966

Organizations & group practices 3

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": "1564617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1699329110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 LONG POINT RD STE C",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294648328",
            "telephone_number": "843-897-6745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 LONG POINT RD STE C",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294648328",
            "telephone_number": "843-897-6745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSI",
        "first_name": "NATHANIEL",
        "middle_name": "J",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-01",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "4957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.