Individual provider Active NPI

April Rebecca Leary, D.C.

  • Chiropractor
  • Summerville, SC
National Provider Identifier
1760894299
Registry record updated Dec 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3981 Issued in SC
Practice address
1706 Old Trolley Rd
Suite F
Summerville, SC 29485-9035
Phone
(843) 879-9824
NPI assigned
Jun 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 001923 CT
Chiropractor 111N00000X 3981 SC Primary

Addresses

Primary practice location

1706 Old Trolley Rd
Suite F
Summerville, SC 29485-9035

Mailing address

4804 Field Planters Dr
Summerville, SC 29485-8749
Phone (843) 879-9824

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150107002156 SC Practitioner - Chiropractic 1254653975 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pentz Family Chiropractic Life CenterGroup PAC ID 6002138716, 2 clinicians

Practice addresses (Care Compare)

1706 Old Trolley Rd
Suite F
Summerville, SC 29485-9035
Phone (843) 879-9824

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001923CTMDChiropractor
3981SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pentz Family Chiropractic Life Center Chiropractor CurrentSince Nov 1, 2014 Accepting new patients

Locations

1706 Old Trolley Rd
Ste F
Summerville, SC 29485
Phone (843) 879-9824

1806 Old Trolley Rd
Summerville, SC 29485
Phone (843) 875-5700

Organizations & group practices 1

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": "1401667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418428800000",
    "number": "1760894299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4804 FIELD PLANTERS DR",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294858749",
            "telephone_number": "843-879-9824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 OLD TROLLEY RD",
            "address_2": "SUITE F",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294859035",
            "telephone_number": "843-879-9824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEARY",
        "first_name": "APRIL",
        "middle_name": "REBECCA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-02",
        "last_updated": "2014-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001923",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2014; 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.