Sarah Adrienne Maxwell, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6190 Issued in SC

Practice address

999 Lake Hunter Cir
Suite B
Mt Pleasant, SC 29464-5427

Phone

(843) 388-3120

Fax

(843) 353-2475

NPI assigned

Nov 1, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Sarah Adrienne Macinnis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Coastal Dermatology, LLC

  • Dermatology Physician
  • Mount Pleasant, SC
  • NPI 1164690822
  NPD (past)

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

{
    "created_epoch": "1383264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383264000000",
    "number": "1740619626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 LAKE HUNTER CIR",
            "address_2": "SUITE B",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294645427",
            "telephone_number": "843-388-3120",
            "fax_number": "843-353-2475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 LAKE HUNTER CIR",
            "address_2": "SUITE B",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294645427",
            "telephone_number": "843-388-3120",
            "fax_number": "843-353-2475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "SARAH",
        "middle_name": "ADRIENNE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-01",
        "last_updated": "2013-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "6190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "MACINNIS",
            "middle_name": "ADRIENNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Julia L Matthews
• Amy Matthiessen, OT
• Ava Nicole Mattina
• Renee Anne Mattson, M.S. CCC-SLP
• Melanie Mills Maxwell, MSOT,OTR/L
• Rachel Elizabeth May, PA-C
• Nicolas James Mazal, M.D.
• Derek R Mazerolle, LMT
• Shauna M. Mazique, DC
• Jennifer Nelson Mazur, PHARMD

• 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 Nov 1, 2013; 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.