Mary Kay Belissary, RPT
Individual provider Active NPI Physical Therapist · Darlington, SC
NPI 1720152440 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1720152440
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 795 (SC)
- Practice address
- 701 Cashua Ferry Rd
Darlington, SC 29532-8488 - Phone
- (843) 777-4246
- Fax
- (843) 777-4247
- NPI assigned
- Nov 17, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 795 | SC | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 795 | SC | Yes |
Addresses
Primary practice location
701 Cashua Ferry Rd
Darlington, SC 29532-8488
Mailing address
701 Cashua Ferry Rd
Darlington, SC 29532-8488
Phone (843) 777-4246
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GPO334 | Medicaid | SC |
Other providers in Darlington, SC
- Lauren Finklea Barberan
- Valorie Kern Barrett
- Macy Lucas Barrineau
- Melissa Arlene Baugh
- Bela Family Dentistry of Darlington
- Marie Berry
- Bethea Senior Care LLC
- Billie Hardee Home for Boys
- Billie Hardee Home for Boys
- Billie Hardee Home for Boys
All providers in Darlington, SC · Physical Therapist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.