NPIMap

Organization Active NPI

Joel N. Baslot PT, LLC

  • Physical Therapist
  • Marion, SC
National Provider Identifier
1881921989
Registry record updated Apr 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
JOEL N. BASLOT PT, LLC
Practice address
2236 E Highway 76
Suite a
Marion, SC 29571-6353
Phone
(843) 423-4888
Fax
(843) 423-4849
NPI assigned
Nov 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2011

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

Authorized official

Name
Mr. Joel N Baslot, PTNPI 1649450073
Title
President
Phone
(843) 423-4888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

2236 E Highway 76
Suite a
Marion, SC 29571-6353

Mailing address

1021 Cheraw St
Suite 101
Bennettsville, SC 29512-2422
Phone (843) 423-4888

Other names 1

  • Dynamic Physical Therapy and Rehabilitation Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100128000225 SC Part B Supplier - Clinic/Group Practice 6002958105 Receives reassigned benefits from 1 practitioner
Practice locations: Marion, SC

National Provider Directory

National Provider Directory

Locations

1021 Cheraw St
Ste 101
Bennettsville, SC 29512

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1257811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303344000000",
    "number": "1881921989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 CHERAW ST",
            "address_2": "SUITE 101",
            "city": "BENNETTSVILLE",
            "state": "SC",
            "postal_code": "295122422",
            "telephone_number": "843-423-4888",
            "fax_number": "843-423-4849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2236 E HIGHWAY 76",
            "address_2": "SUITE A",
            "city": "MARION",
            "state": "SC",
            "postal_code": "295716353",
            "telephone_number": "843-423-4888",
            "fax_number": "843-423-4849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOEL N. BASLOT PT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-10",
        "last_updated": "2011-04-21",
        "status": "A",
        "authorized_official_last_name": "BASLOT",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-423-4888",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dynamic Physical Therapy and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marion, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2011; 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.