Individual provider Active NPI

Taylor Spearman Brewer, D.P.T.

  • Physical Therapist
  • North Charleston, SC
National Provider Identifier
1700305356
Registry record updated Oct 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8163 Issued in SC
Practice address
2060 Northbrook Blvd Ste 101
North Charleston, SC 29406-9811
Phone
(843) 797-5167
NPI assigned
Sep 14, 2017
Last updated
Oct 19, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2018

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 8163 SC Primary

Addresses

Primary practice location

2060 Northbrook Blvd Ste 101
North Charleston, SC 29406-9811

Mailing address

29 Alberta Ave
Charleston, SC 29403-3305

Other names 1

  • Ms. Taylor Lee Spearman Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180219000205 SC Practitioner - Physical Therapist in Private Practice 5496016297 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8163SCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Primary Care Physicians, LLC Current Accepting new patients
Palmetto Primary Care Physicians, LLC CurrentSince Nov 1, 2021 Accepting new patients
Palmetto Primary Care Physicians, LLC CurrentSince Nov 1, 2021 Accepting new patients

Locations

1401 Main St
Bonneau, SC 29431
Phone (843) 825-3404

4340 Ladson Rd
Ste B
Ladson, SC 29456
Phone (843) 376-5056

2500 Elms Center Rd
#B
North Charleston, SC 29406
Phone (843) 203-5051

2550 Elms Center Rd
North Charleston, SC 29406
Phone (843) 302-8840

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, 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": "1505347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539907200000",
    "number": "1700305356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 ALBERTA AVE",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294033305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 NORTHBROOK BLVD STE 101",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069811",
            "telephone_number": "843-797-5167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWER",
        "first_name": "TAYLOR",
        "middle_name": "SPEARMAN",
        "name_prefix": "Mrs.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-14",
        "last_updated": "2018-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "8163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYLOR",
            "last_name": "SPEARMAN",
            "middle_name": "LEE",
            "prefix": "MS.",
            "credential": "D.P.T.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.