Brigid Mary Eberenz, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0436171 Issued in NY

Practice address

116 Foxbank Plantation Blvd Ste E
Moncks Corner, SC 29461-6706

Phone

(843) 761-4622

Fax

(843) 761-4625

NPI assigned

Jan 30, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Brigid Gillis Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

RSFH - Ati Physical Therapy LLCGroup PAC ID 3375849946, 98 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.49 of 100Reported as group

Quality

89.43

Improvement activities

40

Cost

74.33

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• RSFH - Ati Physical Therapy, LLC

  • Physical Therapist
  • Charleston, SC
  • NPI 1912378365
  Medicare reassignment Care Compare group NPD
• RSFH - Ati Physical Therapy, LLC

  • Durable Medical Equipment & Medical Supplies
  • North Charleston, SC
  • NPI 1689405664

  Physical Therapist

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1580342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1821629601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 FOXBANK PLANTATION BLVD STE E",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294616706",
            "telephone_number": "843-761-4622",
            "fax_number": "843-761-4625"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1757 Merrick Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Merrick",
            "state": "NY",
            "postal_code": "115662717",
            "country_code": "US",
            "telephone_number": "516-623-4388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1615 Northern Blvd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Manhasset",
            "state": "NY",
            "postal_code": "110303033",
            "country_code": "US",
            "telephone_number": "516-365-3455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EBERENZ",
        "first_name": "BRIGID",
        "middle_name": "MARY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-30",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT013702",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0436171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brigid@physioelementsny.com",
            "affiliation": "Y",
            "affiliationName": "PhysioElements physical therapy, PLLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1615 Northern Blvd Ste 202",
            "city": "Manhasset",
            "state": "NY",
            "country_code": "US",
            "postal_code": "110303033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BRIGID",
            "last_name": "GILLIS",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alexis Dubose
• Matthew T. Dugan, LPC
• Jill Dunmire
• Randall Lee Eads, PT, DPT, OCS, CSCS
• Earnest E Kennedy Center
• Heather K Eby, HUMAN SERV COORD I
• Sandra Edwards-Jones
• Gracie Ann Elliott, PHARMD
• Anacorita Ellisor, FNP
• Brentley Sue Elmore

• Physical Therapist in Moncks Corner, SC
• Providers in Moncks Corner, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.