Individual provider Active NPI

Shiloh Burgreen, DPT

  • Physical Therapist
  • Elgin, SC
National Provider Identifier
1760149603
Registry record updated Nov 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
161 Pontiac Business Center Dr Ste 1188
Elgin, SC 29045-7123
Phone
(803) 708-1536
NPI assigned
Nov 28, 2021
Last updated
Nov 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2021

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 NU Primary

Addresses

Primary practice location

161 Pontiac Business Center Dr Ste 1188
Elgin, SC 29045-7123

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-8923

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220112002159 SC Practitioner - Physical Therapist in Private Practice 1759773237 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Physical Therapy LLCGroup PAC ID 2769915347, 25 clinicians

Practice addresses (Care Compare)

7653 Garners Ferry Rd
Columbia, SC 29209-3857
Phone (803) 695-6150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11018SCMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy - South Carolina, LLC Physical Therapist CurrentSince Nov 9, 2021 Accepting new patients
Novant Health Physical Therapy LLC Physical Therapist CurrentSince Nov 1, 2024 Accepting new patients
Drayer Physical Therapy-South Carolina, LLC Physical Therapist CurrentSince Nov 9, 2021 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

130 Forum Dr
Ste 13
Columbia, SC 29229
Phone (803) 509-6880

7653 Garners Ferry Rd
Columbia, SC 29209
Phone (803) 695-6150

161 Pontiac Business Center Dr
Ste 1188
Elgin, SC 29045
Phone (803) 708-1536

7585 Saint Andrews Rd
Irmo, SC 29063
Phone (803) 749-5031

815 Highway 378
Lexington, SC 29072
Phone (803) 359-5533

1510 Ribaut Rd
Port Royal, SC 29935
Phone (843) 524-3241

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": "1638057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638057600000",
    "number": "1760149603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-8923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 PONTIAC BUSINESS CENTER DR STE 1188",
            "city": "ELGIN",
            "state": "SC",
            "postal_code": "290457123",
            "telephone_number": "803-708-1536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGREEN",
        "first_name": "SHILOH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-28",
        "last_updated": "2021-11-28",
        "certification_date": "2021-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2021; 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.