Individual provider Active NPI

Ralph Warren Hoerner III, DPT

  • Physical Therapist
  • Okatie, SC
National Provider Identifier
1780089383
Registry record updated Oct 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7431 Issued in SC
Practice address
3039 Okatie Hwy
Okatie, SC 29909-5101
Phone
(843) 705-8220
NPI assigned
Oct 27, 2014
Last updated
Oct 27, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2014

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 7431 SC Primary

Addresses

Primary practice location

3039 Okatie Hwy
Okatie, SC 29909-5101

Mailing address

602 Heyward St
Beaufort, SC 29902-4319
Phone (724) 516-1710

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250807003998 SC Practitioner - Physical Therapist in Private Practice 3678071842 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Pittsburgh School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Sportscare and Physical TherapyGroup PAC ID 0648184937, 11 clinicians

Practice addresses (Care Compare)

1900 Boundary St
Suite 101
Beaufort, SC 29902-6822
Phone (843) 521-1970

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7431SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Sportscare and Physical Therapy Physical Therapist CurrentSince Jun 27, 2025 Accepting new patients

Locations

1900 Boundary St
Ste 101
Beaufort, SC 29902
Phone (843) 521-1970

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, 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": "1414368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414368000000",
    "number": "1780089383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 HEYWARD ST",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299024319",
            "telephone_number": "724-516-1710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3039 OKATIE HWY",
            "city": "OKATIE",
            "state": "SC",
            "postal_code": "299095101",
            "telephone_number": "843-705-8220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOERNER",
        "first_name": "RALPH",
        "middle_name": "WARREN",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-27",
        "last_updated": "2014-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "7431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okatie, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.