Individual provider Active NPI

Victoria Rose Conroy, DPT

  • Physical Therapist
  • Mount Pleasant, SC
National Provider Identifier
1730818923
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11347 Issued in SC
Practice address
1304 Erckmann Dr Ste C
Mt Pleasant, SC 29464-5536
Phone
(843) 971-7668
Fax
(843) 971-7666
NPI assigned
Jun 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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 11347 SC Primary

Addresses

Primary practice location

1304 Erckmann Dr Ste C
Mt Pleasant, SC 29464-5536

Mailing address

5111 N Rhett Ave
North Charleston, SC 29405-4219
Phone (843) 804-9033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220816002444 SC Practitioner - Physical Therapist in Private Practice 8527441013 Reassigns benefits to 5 organizations
I20240606003318 MA Practitioner - Physical Therapist in Private Practice 8527441013 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MK Rehabilitation, LLCGroup PAC ID 7416975388, 14 clinicians

Practice addresses (Care Compare)

473 W Central St
Franklin, MA 02038-2901
Phone (508) 528-0147

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11347SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Imagine Physical Therapy in West Ashley, LLC Physical Therapist CurrentSince Jun 6, 2022 Accepting new patients
Love of Language CurrentSince Jun 6, 2022 Accepting new patients
MK Rehabilitation, LLC Physical Therapist CurrentSince May 30, 2024 Accepting new patients
Imagine Physical Therapy LLC Physical Therapist CurrentSince Jun 6, 2022 Accepting new patients
Imagine Physical Therapy Old Village LLC Physical Therapist CurrentSince Jun 6, 2022 Accepting new patients
Imagine Physical Therapy on Daniel Island LLC Physical Therapist CurrentSince Jun 6, 2022 Accepting new patients
Imagine Physical Therapy North Rhett LLC Physical Therapist CurrentSince Jun 6, 2022 Accepting new patients

Locations

272 Columbia Rd
Ste 4
Hanover, MA 02339
Phone (714) 856-5625

57 Snow Rd
Marshfield, MA 02050
Phone (781) 834-4600

142 Sportsman Island Dr
Ste F
Charleston, SC 29492
Phone (843) 377-8820

2267 Ashley River Rd
Charleston, SC 29414
Phone (843) 576-4121

1304 Erckmann Dr
Ste C
Mt Pleasant, SC 29464
Phone (843) 804-9479

5111 N Rhett Ave
North Charleston, SC 29405
Phone (843) 352-4952

Organizations & group practices 7

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": "1654473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1730818923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5111 N RHETT AVE",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294054219",
            "telephone_number": "843-804-9033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 ERCKMANN DR STE C",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294645536",
            "telephone_number": "843-971-7668",
            "fax_number": "843-971-7666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONROY",
        "first_name": "VICTORIA",
        "middle_name": "ROSE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-06",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "11347",
            "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 Jun 6, 2022; 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.