Active NPI
Emily P Graulich, DPT, PT
- Physical Therapist
- Mount Pleasant, SC
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
- Last updated
- Sep 20, 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) 751-1480
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, 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": "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 Mount 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.