Melissa K Shumate, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4705 Issued in SC

Practice address

1015 Nandina St
Hartsville, SC 29550-3931

Phone

(843) 774-7462

Fax

(843) 841-2482

NPI assigned

Jul 21, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Omni Physical Therapy Inc

  • Physical Therapist
  • Dillon, SC
  • NPI 1316097702
  NPD Authorized official
• Omni Physical Therapy,Inc.

  • Specialist
  • Hartsville, SC
  • NPI 1972511129
  NPD Authorized official
• Maud and Company Rehab Services Inc

  • Occupational Therapist
  • Dillon, SC
  • NPI 1306806054

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871514182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 NANDINA ST",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295503931",
            "telephone_number": "843-383-8650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 NANDINA ST",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295503931",
            "telephone_number": "843-774-7462",
            "fax_number": "843-841-2482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUMATE",
        "first_name": "MELISSA",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "4705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alice Scarborough
• Tillette V Scott
• Miranda Scruggs
• Sculpted Bodies by Destani LLC.
• Jeremy Serafin
• Brandy Jackson Sinclair, FNP-C
• Ashley Webb Singleton, PHARM D
• Grace Sipp
• Patrick E Sizemore, M.D.
• Stephen Norwood Skipper, D.C.

• Physical Therapist in Hartsville, SC
• Providers in Hartsville, SC by specialty
• Physical Therapist in South Carolina

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.