Active NPI
Dorothy Alicia Wheeler, PT, DPT
- Physical Therapist
- Port Royal, SC
National Provider Identifier
1811441843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6283
- Practice address
- 1004 10TH St
Port Royal, SC 29935-2310 - Phone
- (843) 310-9690
- Fax
- (800) 317-9690
- NPI assigned
- Aug 8, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6283 | SC | Primary |
Addresses
Primary practice location
1004 10TH St
Port Royal, SC 29935-2310
Mailing address
1004 10TH St
Port Royal, SC 29935-2310
Phone (843) 310-9690
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6283 | Other | SC | PROFESSIONAL LICENSE |
Other names 1
- Dorothy Alicia Taylor
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6283 | SC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sea Island Healthcare, LLC | Past | Accepting new patients |
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.
-
- Home Health Agency
- Port Royal, SC
- NPI 1013405976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470614400000",
"number": "1811441843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1004 10TH ST",
"city": "PORT ROYAL",
"state": "SC",
"postal_code": "299352310",
"telephone_number": "843-310-9690",
"fax_number": "800-317-9690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1004 10TH ST",
"city": "PORT ROYAL",
"state": "SC",
"postal_code": "299352310",
"telephone_number": "843-310-9690",
"fax_number": "800-317-9690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHEELER",
"first_name": "DOROTHY",
"middle_name": "ALICIA",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-08",
"last_updated": "2016-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "6283",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROFESSIONAL LICENSE",
"identifier": "6283",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DOROTHY",
"last_name": "TAYLOR",
"middle_name": "ALICIA",
"credential": "PT, DPT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Port Royal, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.