Individual provider Active NPI

Danielle Demerdjian

  • Physical Therapist
  • Hilton Head Island, SC
National Provider Identifier
1831508480
Registry record updated Mar 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT .7464 PT Issued in SC
Practice address
8 Hospital Center Blvd
Suite 250
Hilton Head Island, SC 29926-8700
Phone
(843) 671-7342
Fax
(843) 671-7343
NPI assigned
Aug 7, 2014
Last updated
Mar 31, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT .7464 PT SC Primary

Addresses

Primary practice location

8 Hospital Center Blvd
Suite 250
Hilton Head Island, SC 29926-8700

Mailing address

1004 10TH St
Port Royal, SC 29935-2310
Phone (843) 310-9689

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140928000005 SC Practitioner - Physical Therapist in Private Practice 2860612702 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Massachusetts Medical School, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bluffton Mobile Physical TherapyGroup PAC ID 7315344595, 6 clinicians

Practice addresses (Care Compare)

52 Sugar Maple St
Bluffton, SC 29910-7678
Phone (815) 861-4115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7464SCMDPharmacist
PT .7464 PTSCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sea Island Rehabilitation, PA Physical Therapist CurrentSince Mar 27, 2019 Accepting new patients
Bluffton Mobile Physical Therapy Physical Therapist CurrentSince Dec 13, 2022 Accepting new patients
Sea Island Healthcare, LLC PastSince Mar 27, 2019 Accepting new patients
Hope Performance Systems LLC PastSince Dec 15, 2019 Accepting new patients
Palmetto Therapy Services Physical Therapist PastSince Nov 30, 2014 Accepting new patients

Organizations & group practices 5

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": "1407369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553990400000",
    "number": "1831508480",
    "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": "843-310-9689",
            "fax_number": "800-317-9690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 HOSPITAL CENTER BLVD",
            "address_2": "SUITE 250",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299268700",
            "telephone_number": "843-671-7342",
            "fax_number": "843-671-7343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMERDJIAN",
        "first_name": "DANIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-07",
        "last_updated": "2019-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "PT .7464 PT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilton Head Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2019; 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.