Individual provider Active NPI

Stephanie Noel Roberts Musselman, DPT

  • Physical Therapist
  • Hilton Head, SC
National Provider Identifier
1790784478
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10424 Issued in SC
Practice address
39 Hospital Center CMNS
Hilton Head, SC 29926-2837
Phone
(843) 689-2233
NPI assigned
Jul 15, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 10424 SC Primary
Physical Therapist 225100000X 2305203853 VA

Addresses

Primary practice location

39 Hospital Center CMNS
Hilton Head, SC 29926-2837

Mailing address

39 Hospital Center CMNS
Hilton Head, SC 29926-2837
Phone (843) 689-2233

Other practice location 1

6900 Forest Ave Ste 310
Richmond, VA 23230-1730
Phone (804) 249-8888

Other identifiers 1

IdentifierTypeStateIssuer
010064961MedicaidVA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210219001323 SC Practitioner - Physical Therapist in Private Practice 7517940612 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Virginia Commonwealth University, School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

39 Hospital Ctr CMNS
Hilton Head Island, SC 29926-2837
Phone (843) 681-2363

Merit-based Incentive Payment System (MIPS)

Final score
81.34 of 100Reported as group
Quality
57.41
Promoting interoperability
100
Improvement activities
40
Cost
80.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10424SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy-South Carolina, LLC Physical Therapist CurrentSince Mar 1, 2021 Accepting new patients
Drayer Physical Therapy - South Carolina, LLC Physical Therapist CurrentSince Mar 1, 2021 Accepting new patients
Beaufort Orthopaedic Sports and Spine Center LLC CurrentSince Feb 1, 2021 Accepting new patients
Beaufort Orthopaedic Sports and Spine Center LLC CurrentSince Feb 1, 2021 Accepting new patients
Feel Better Global LLC PastSince Sep 29, 2024 Accepting new patients
Therapy Services of Virginia Inc. Physical Therapist Past Accepting new patients

Locations

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

1076 Ribaut Rd
Ste 101
Beaufort, SC 29902
Phone (843) 525-0045

39 Hospital Center Cmns
Hilton Head Island, SC 29926
Phone (843) 681-2363

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

Organizations & group practices 6

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": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1790784478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 HOSPITAL CENTER CMNS",
            "city": "HILTON HEAD",
            "state": "SC",
            "postal_code": "299262837",
            "telephone_number": "843-689-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 HOSPITAL CENTER CMNS",
            "city": "HILTON HEAD",
            "state": "SC",
            "postal_code": "299262837",
            "telephone_number": "843-689-2233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6900 Forest Ave Ste 310",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232301730",
            "country_code": "US",
            "telephone_number": "804-249-8888",
            "fax_number": "804-249-7246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUSSELMAN",
        "first_name": "STEPHANIE",
        "middle_name": "NOEL ROBERTS",
        "name_prefix": "Miss",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-15",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "10424",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305203853",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010064961",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilton Head, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.