Stephen Correia, PT PHYSICAL THERAPY

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2255 Issued in SC

Practice address

3401 Salterbeck St Ste 104
Mt Pleasant, SC 29466-7168

Phone

(843) 364-7206

Fax

(843) 884-6635

NPI assigned

Jul 31, 2006

Last updated

Jan 6, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Charleston Orthopedics and Sports Performance LLC

  • Physical Therapist
  • Mount Pleasant, SC
  • NPI 1386382000
  Medicare reassignment NPD Authorized official
• Rehabilitation Centers of Charleston, LLC

  • Physical Therapist
  • Mount Pleasant, SC
  • NPI 1205842762
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1740296003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 CROWN REACH",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294667921",
            "telephone_number": "843-364-7206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 SALTERBECK ST STE 104",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294667168",
            "telephone_number": "843-364-7206",
            "fax_number": "843-884-6635"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 Pitt St",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "SC",
            "postal_code": "294645319",
            "country_code": "US",
            "telephone_number": "843-364-7206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORREIA",
        "first_name": "STEPHEN",
        "name_prefix": "Mr.",
        "credential": "PT PHYSICAL THERAPY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "2255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TH0690",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00433096",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP1753",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; 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.