Individual provider Active NPI

Emily P Graulich, DPT, PT

  • Physical Therapist
  • Mt Pleasant, SC
National Provider Identifier
1891487930
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11869 Issued in SC
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

Updated by the provider on Sep 20, 2023

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 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

Enrollment IDStateProvider typePAC IDDetails
I20230809000796 SC Practitioner - Physical Therapist in Private Practice 0143682021 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11869SCMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Berkeley Rehabilitation, LLC Physical Therapist CurrentSince May 27, 2023 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.

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.

Verify at the official NPI Registry.