Individual provider Active NPI

Abigail Peeters Van de Hei, DPT

  • Physical Therapist
  • Myrtle Beach, SC
National Provider Identifier
1780322446
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11547 Issued in SC
Practice address
4125 Dick Pond Rd
Myrtle Beach, SC 29588-6807
Phone
(843) 999-0284
Fax
(843) 353-2707
NPI assigned
May 23, 2022
Last updated
Apr 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CP017195T AZ
Physical Therapist 225100000X CP024268T GA
Physical Therapist 225100000X 05014634A IN
Physical Therapist 225100000X CP019105T MO
Physical Therapist 225100000X 15787-24 WI
Physical Therapist 225100000X 11547 SC Primary
Physical Therapist 225100000X PT03886 RI

Addresses

Primary practice location

4125 Dick Pond Rd
Myrtle Beach, SC 29588-6807

Mailing address

1711 Ridgeway Dr
De Pere, WI 54115-3609
Phone (920) 660-5446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, RI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221006003200 SC Practitioner - Physical Therapist in Private Practice 1254713639 Reassigns benefits to 2 organizations
I20240827000689 RI Practitioner - Physical Therapist in Private Practice 1254713639 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Par PT LLCGroup PAC ID 9537414099, 6 clinicians

Practice addresses (Care Compare)

4125 Dick Pond Rd
Myrtle Beach, SC 29588-6807
Phone (843) 999-0284

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP017195TAZMDPhysical Therapist
CP024268TGAMDPhysical Therapist
CP019105TMOMDPhysical Therapist
15787-24WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Physical Therapy, LLC Physical Therapist CurrentSince Aug 15, 2024 Accepting new patients
Par PT, LLC CurrentSince Apr 30, 2025 Accepting new patients
Greenville Proaxis Therapy, LLC Physical Therapist CurrentSince Oct 17, 2022 Accepting new patients
Greenville Proaxis Therapy LLC CurrentSince Oct 17, 2022 Accepting new patients
Advance Rehabilitation & Consulting Limited Partnership Physical Therapist PastSince Aug 1, 2023 Accepting new patients
Advance Rehabilitation & Consulting Limited Partnership Physical Therapist PastSince Aug 1, 2023 Accepting new patients
Eugene Physical Therapy at Oak Street PastSince Jan 9, 2024 Accepting new patients

Locations

33205 Collection Ctr Dr
Chicago, IL 60693

982 Tiogue Ave
Coventry, RI 02816
Phone (401) 615-3140

535 Centerville Rd
Ste 101
Warwick, RI 02886
Phone (401) 737-4581

103 N Main St
Ste 201
Greenville, SC 29601
Phone (864) 528-5753

4125 Dick Pond Rd
Myrtle Beach, SC 29588
Phone (843) 353-2707

10879 Clemson Blvd
Seneca, SC 29678
Phone (864) 482-0085

Organizations & group practices 7

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": "1653264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1780322446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 RIDGEWAY DR",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541153609",
            "telephone_number": "920-660-5446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4125 DICK POND RD",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295886807",
            "telephone_number": "843-999-0284",
            "fax_number": "843-353-2707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DE HEI",
        "first_name": "ABIGAIL",
        "middle_name": "PEETERS",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-23",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "CP017195T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "CP024268T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05014634A",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "CP019105T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "15787-24",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "11547",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT03886",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.