Active NPI
Sherry Lynn Fadel, MS, RPT
- Physical Therapist
- Columbia, SC
National Provider Identifier
1861513483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4587
- Practice address
- 9600 Two Notch Rd
Suite #24
Columbia, SC 29223-4304 - Phone
- (803) 736-5540
- Fax
- (803) 699-0951
- NPI assigned
- Apr 2, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4587 | SC | Primary |
Addresses
Primary practice location
9600 Two Notch Rd
Suite #24
Columbia, SC 29223-4304
Mailing address
9600 Two Notch Rd
Suite #24
Columbia, SC 29223-4304
Phone (803) 736-5540
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4587 | Other | SC | STATE LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4587 | SC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Rehab Services, PA | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Columbia, SC
- NPI 1952304164
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861513483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9600 TWO NOTCH RD",
"address_2": "SUITE #24",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292234304",
"telephone_number": "803-736-5540",
"fax_number": "803-699-0951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9600 TWO NOTCH RD",
"address_2": "SUITE #24",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292234304",
"telephone_number": "803-736-5540",
"fax_number": "803-699-0951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FADEL",
"first_name": "SHERRY",
"middle_name": "LYNN",
"credential": "MS, RPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "4587",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "4587",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.