Active NPI
Gabrielle Patten
- Physical Therapist
- North Myrtle Beach, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- CP053043T
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, SC
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| CP053043T | SC | MD | Physical Therapist |
| 70025414 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthosc, LLC | Current | Accepting new patients | |
| Mary Washington Healthcare Physicians | Physical Therapist | Current | Accepting new patients |
| Mary Washington Healthcare Physicians | Current | Accepting new patients | |
| Orthosc, LLC | Current | 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
- 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.
-
- Orthopaedic Surgery Physician
- Murrells Inlet, SC
- NPI 1861902728
-
- Family Medicine Physician
- Fredericksburg, VA
- NPI 1295999852
Physical Therapist
-
- Orthopaedic Surgery Physician
- Conway, SC
- NPI 1275369787
-
- Durable Medical Equipment & Medical Supplies
- Fredericksburg, VA
- NPI 1740853035
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.