Mary Elizabeth Beirne

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA003508 Issued in GA

Practice address

721 Wappoo Rd
Charleston, SC 29407-5861

Phone

(843) 402-7850

NPI assigned

Sep 8, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mary Elizabeth Amis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Pattisons D R E a M Academy

  • Rehabilitation Clinic/Center
  • Charleston, SC
  • NPI 1861678534
  NPD

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

{
    "created_epoch": "1441670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594944000000",
    "number": "1851769855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80426",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294160426",
            "telephone_number": "912-977-8453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 WAPPOO RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294075861",
            "telephone_number": "843-402-7850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Peachtree Dr",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314191200",
            "country_code": "US",
            "telephone_number": "912-927-0500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEIRNE",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-08",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "GA",
            "license": "PTA003508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "AMIS",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Taylor Rose Beeson
• Behavioral Systems, L.L.C.
• William J Behlke Jr., DMD
• Edward G Behrens, M.D.
• Tatsiana Y Beiko, M.D.
• Charles J Beischel, MD PHD
• Mary Jennifer Bekker, PHARM.D.
• Kathryn Belcastro, OTR/L
• Athena Beldecos, MD
• Tara Whitaker Beldner, PHARM D

• Physical Therapy Assistant in Charleston, SC
• Providers in Charleston, SC by specialty
• Physical Therapy Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.