Individual provider Active NPI

Aaron Hennigan, DPT

  • Physical Therapist
  • Mount Pleasant, SC
National Provider Identifier
1891288205
Registry record updated Jun 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9131 Issued in SC
Practice address
3301 Stockdale St Ste B
Mount Pleasant, SC 29466-7125
Phone
(843) 375-5448
Fax
(843) 628-6624
NPI assigned
Jun 11, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2018

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 9131 SC Primary

Addresses

Primary practice location

3301 Stockdale St Ste B
Mount Pleasant, SC 29466-7125

Mailing address

5111 N Rhett Ave
North Charleston, SC 29405-4219
Phone (843) 804-9088

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
9131SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Imagine Physical Therapy CurrentSince Jun 11, 2018 Accepting new patients
Imagine Physical Therapy in West Ashley, LLC Physical Therapist CurrentSince Jun 11, 2018 Accepting new patients
Imagine Physical Therapy Old Village LLC Physical Therapist CurrentSince Jun 11, 2018 Accepting new patients
Imagine Physical Therapy on Daniel Island LLC Physical Therapist CurrentSince Jun 18, 2018 Accepting new patients
Imagine Physical Therapy LLC Physical Therapist CurrentSince Jun 11, 2018 Accepting new patients
Imagine Physical Therapy North Rhett LLC Physical Therapist CurrentSince Jun 11, 2018 Accepting new patients
Love of Language PastSince May 8, 2018 Accepting new patients

Locations

142 Sportsman Island Dr
Ste F
Charleston, SC 29492
Phone (843) 377-8820

2267 Ashley River Rd
Charleston, SC 29414
Phone (843) 576-4121

1304 Erckmann Dr
Ste C
Mt Pleasant, SC 29464
Phone (843) 804-9479

3301 Stockdale St
Ste B
Mt Pleasant, SC 29466
Phone (843) 375-5448

5111 N Rhett Ave
North Charleston, SC 29405
Phone (843) 352-4952

Organizations & group practices 7

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": "1528675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528675200000",
    "number": "1891288205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5111 N RHETT AVE",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294054219",
            "telephone_number": "843-804-9088",
            "fax_number": "843-804-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 STOCKDALE ST STE B",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294667125",
            "telephone_number": "843-375-5448",
            "fax_number": "843-628-6624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNIGAN",
        "first_name": "AARON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-11",
        "last_updated": "2018-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "9131",
            "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 Jun 11, 2018; 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.