Active NPI
Renee B Garrison, P.T.
- Physical Therapist
- Charleston, SC
National Provider Identifier
1891981726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3727
- Practice address
- 650 Ellis Oak Dr
Charleston, SC 29412-3090 - Phone
- (843) 266-1540
- Fax
- (843) 266-1567
- NPI assigned
- Sep 25, 2007
- 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 | 3727 | SC | Primary |
Addresses
Primary practice location
650 Ellis Oak Dr
Charleston, SC 29412-3090
Mailing address
650 Ellis Oak Dr
Charleston, SC 29412-3090
Phone (843) 266-1540
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3727 | SC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190678400000",
"number": "1891981726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 ELLIS OAK DR",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294123090",
"telephone_number": "843-266-1540",
"fax_number": "843-266-1567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 ELLIS OAK DR",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294123090",
"telephone_number": "843-266-1540",
"fax_number": "843-266-1567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARRISON",
"first_name": "RENEE",
"middle_name": "B",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-25",
"last_updated": "2007-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "3727",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.