Active NPI
Elizabeth W Sullivan, PT
- Physical Therapist
- Lexington, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8251
- Practice address
- 229 Saluda Springs Rd
Lexington, SC 29072 - Phone
- (803) 359-0505
- Fax
- (803) 359-2206
- NPI assigned
- Nov 17, 2006
- Last updated
- Aug 2, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 8251 | SC | Primary |
Addresses
Primary practice location
229 Saluda Springs Rd
Lexington, SC 29072
Mailing address
141 Atrium Way
Columbia, SC 29223-6301
Phone (803) 788-8484
Other practice location 1
1212 York Rd
Suite C-101
Lutherville, MD 21093-6240
Phone (410) 321-0377
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TH3382 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Medical University of South Carolina College of Medicine, 2006
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1602 N Hwy 17
Mount Pleasant, SC 29464-3310
Phone (843) 800-0773
320 W Coleman Blvd
Suite B
Mount Pleasant, SC 29464-3449
Phone (843) 823-5133
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8251 | SC | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benchmark Health Services | Physical Therapist | Current | Accepting new patients |
| Agilitas USA, Inc | Physical Therapist | Current | Accepting new patients |
| Benchmark Healthcare Services, LLC | Physical Therapist | Current | Accepting new patients |
| Agilitas USA Inc | Physical Therapist | Current | Accepting new patients |
| Mady and Mules, PA | Past | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
1000 Tanner Ford Blvd
Ste 370
Hanahan, SC 29410
Phone (843) 718-1058
320 W Coleman Blvd
Ste B
Mount Pleasant, SC 29464
Phone (843) 823-5133
1602 N Highway 17
Mt Pleasant, SC 29464
Phone (843) 800-0773
3032 W Montague Ave
Ste 101
North Charleston, SC 29418
Phone (843) 885-8772
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.
-
dba Results Physiotherapy
- Physical Therapy Clinic/Center
- Hixson, TN
- NPI 1962417444
Physical Therapist, SC
-
- Physical Therapist
- Easley, SC
- NPI 1457842643
-
dba Results Physiotherapy
- Physical Therapy Clinic/Center
- Chattanooga, TN
- NPI 1518695436
Physical Therapist
-
- Physical Medicine & Rehabilitation Physician
- Baltimore, MD
- NPI 1265096382
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564704000000",
"number": "1881767614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 ATRIUM WAY",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292236301",
"telephone_number": "803-788-8484",
"fax_number": "803-788-8499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "229 SALUDA SPRINGS RD",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "29072",
"telephone_number": "803-359-0505",
"fax_number": "803-359-2206"
}
],
"practiceLocations": [
{
"address_1": "1212 York Rd",
"address_2": "Suite C-101",
"address_purpose": "LOCATION",
"city": "Lutherville",
"state": "MD",
"postal_code": "210936240",
"country_code": "US",
"telephone_number": "410-321-0377",
"fax_number": "410-821-7517",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SULLIVAN",
"first_name": "ELIZABETH",
"middle_name": "W",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-17",
"last_updated": "2019-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "8251",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "TH3382",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.