Individual provider Active NPI

Sheri St. Clair, PT

  • Physical Therapist
  • Anderson, SC
National Provider Identifier
1891028932
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8224 Issued in SC
Practice address
4122 Clemson Blvd Ste 4G
Anderson, SC 29621-1100
Phone
(864) 772-1004
Fax
(833) 796-6540
NPI assigned
Sep 8, 2009
Last updated
Jul 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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 8224 SC Primary

Addresses

Primary practice location

4122 Clemson Blvd Ste 4G
Anderson, SC 29621-1100

Mailing address

5 Woodhaven Way
Easley, SC 29642-9030
Phone (864) 772-1004

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200623003408 SC Practitioner - Physical Therapist in Private Practice 6103962436 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Clair Physical Therapy, LLCGroup PAC ID 8426599432, 3 clinicians

Practice addresses (Care Compare)

4122 Clemson Blvd
Suite 4G
Anderson, SC 29621-1100
Phone (864) 772-1004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8224SCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Brett Russell Physical Therapy and Fitness LLC Physical Therapist CurrentSince Mar 23, 2022 Accepting new patients
Easley Head & Neck Surgery, PA CurrentSince Apr 29, 2020 Accepting new patients
St Clair Physical Therapy, LLC Physical Therapist CurrentSince Jul 25, 2023 Accepting new patients

Locations

4122 Clemson Blvd
Ste 4G
Anderson, SC 29621
Phone (864) 772-1004

115 Whitmire Rd
Easley, SC 29640
Phone (864) 855-2411

600 N Highway 25
Travelers Rst, SC 29690
Phone (864) 834-4995

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.125004

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1252368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1891028932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 WOODHAVEN WAY",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296429030",
            "telephone_number": "864-772-1004",
            "fax_number": "833-796-6540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4122 CLEMSON BLVD STE 4G",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296211100",
            "telephone_number": "864-772-1004",
            "fax_number": "833-796-6540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST. CLAIR",
        "first_name": "SHERI",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-08",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "8224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; 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.

Verify at the official NPI Registry.