Individual provider Active NPI

Gabrielle Patten

  • Physical Therapist
  • North Myrtle Beach, SC
National Provider Identifier
1831077163
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP053043T Issued in SC
Practice address
1621 Highway 17 N
North Myrtle Beach, SC 29582-2229
Phone
(843) 335-3346
Fax
(843) 353-3461
NPI assigned
Aug 25, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305217377 VA
Physical Therapist 225100000X 14098 MN
Physical Therapist 225100000X 70025414 WA
Physical Therapist 225100000X CP053043T SC Primary

Addresses

Primary practice location

1621 Highway 17 N
North Myrtle Beach, SC 29582-2229

Mailing address

19608 92ND Ave S
Renton, WA 98055-4100

Other practice location 1

90 Greenspring Dr
Stafford, VA 22554-1752
Phone (206) 430-2856

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250926000967 VA Practitioner - Physical Therapist in Private Practice 1658876925 Reassigns benefits to 1 organization
I20260318003000 SC Practitioner - Physical Therapist in Private Practice 1658876925 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthosc LLCGroup PAC ID 8022370030, 113 clinicians
Mary Washington Healthcare PhysiciansGroup PAC ID 2769546530, 286 clinicians

Practice addresses (Care Compare)

1621 Hwy 17 N
North Myrtle Beach, SC 29582-2229
Phone (843) 353-3460

90 Greenspring Dr
Stafford, VA 22554-1752
Phone (540) 373-4602

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP053043TSCMDPhysical Therapist
70025414WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthosc, LLC CurrentSince Mar 11, 2026 Accepting new patients
Mary Washington Healthcare Physicians Physical Therapist CurrentSince Sep 8, 2025 Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Sep 8, 2025 Accepting new patients
Orthosc, LLC CurrentSince Mar 11, 2026 Accepting new patients

Locations

1621 Highway 17 N
North Myrtle Beach, SC 29582
Phone (843) 335-3346

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

90 Greenspring Dr
Stafford, VA 22554
Phone (540) 373-7133

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17161/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1756080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1831077163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19608 92ND AVE S",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980554100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 HIGHWAY 17 N",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295822229",
            "telephone_number": "843-335-3346",
            "fax_number": "843-353-3461"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "90 Greenspring Dr",
            "address_purpose": "LOCATION",
            "city": "Stafford",
            "state": "VA",
            "postal_code": "225541752",
            "country_code": "US",
            "telephone_number": "206-430-2856",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATTEN",
        "first_name": "GABRIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-25",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305217377",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "14098",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "70025414",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "CP053043T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North 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 6, 2026; 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.