Active NPI
Emily P Graulich, DPT, PT
- Physical Therapist
- Mt Pleasant, SC
National Provider Identifier
1891487930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11869
- Practice address
- 1341 Old Georgetown Rd Ste C
Mt Pleasant, SC 29464-7307 - Phone
- (843) 936-3385
- Fax
- (843) 388-4868
- NPI assigned
- May 25, 2023
- 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 | 11869 | SC | Primary |
Addresses
Primary practice location
1341 Old Georgetown Rd Ste C
Mt Pleasant, SC 29464-7307
Mailing address
1341 Old Georgetown Rd Ste C
Mt Pleasant, SC 29464-7307
Phone (843) 936-3385
Other practice location 1
1954 Ashley River Rd Ste E
Charleston, SC 29407-4904
Phone (843) 751-1480
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11869 | SC | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Berkeley Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
Locations
1954 Ashley River Rd
Ste E
Charleston, SC 29407
Phone (843) 761-1480
1341 Old Georgetown Rd
Ste C
Mt Pleasant, SC 29464
Phone (843) 884-2175
Organizations & group practices 1
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.
-
- Physical Therapist
- Charleston, SC
- NPI 1194344150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695168000000",
"number": "1891487930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1341 OLD GEORGETOWN RD STE C",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294647307",
"telephone_number": "843-936-3385",
"fax_number": "843-388-4868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1341 OLD GEORGETOWN RD STE C",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294647307",
"telephone_number": "843-936-3385",
"fax_number": "843-388-4868"
}
],
"practiceLocations": [
{
"address_1": "1954 Ashley River Rd Ste E",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "SC",
"postal_code": "294074904",
"country_code": "US",
"telephone_number": "843-751-1480",
"fax_number": "843-761-1481",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRAULICH",
"first_name": "EMILY",
"middle_name": "P",
"credential": "DPT, PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-25",
"last_updated": "2023-09-20",
"certification_date": "2023-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "11869",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mt Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.