Individual provider Active NPI

Nathan Joseph Fusco, P.T.

  • Physical Therapist
  • Mount Pleasant, SC
National Provider Identifier
1861759920
Registry record updated Apr 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6487 Issued in SC
Practice address
3409 Salterbeck Street
Mount Pleasant, SC 29466-7117
Phone
(843) 216-6800
NPI assigned
Apr 13, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2012

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 6487 SC Primary

Addresses

Primary practice location

3409 Salterbeck Street
Mount Pleasant, SC 29466-7117

Mailing address

188 Midland Parkway
Unit 219
Summerville, SC 29485-8149

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
6487SCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Impact Therapy, LLC Physical Therapist CurrentSince Apr 6, 2012 Accepting new patients

Locations

3044 Highway 17 Byp N
#B
Mt Pleasant, SC 29466
Phone (843) 881-2030

3409 Salterbeck St
#202
Mt Pleasant, SC 29466
Phone (843) 216-6800

3409 Salterbeck St
Mt Pleasant, SC 29466
Phone (816) 216-6800

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1334275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334275200000",
    "number": "1861759920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 MIDLAND PARKWAY",
            "address_2": "UNIT 219",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294858149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3409 SALTERBECK STREET",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294667117",
            "telephone_number": "843-216-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUSCO",
        "first_name": "NATHAN",
        "middle_name": "JOSEPH",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-13",
        "last_updated": "2012-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "6487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2012; 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.