Stephanie Baker Adams
Individual provider Active NPI Physical Therapist · Summerville, SC
NPI 1902551708 · NPPES record last updated Mar 4, 2025
Key facts
- NPI
- 1902551708
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 11155 (SC)
- Practice address
- 4528 Ladson Rd
Summerville, SC 29485-8531 - Phone
- (843) 419-6393
- NPI assigned
- Feb 21, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wheelchair Clinic Inc
South Carolina Sports Medicine and Orthopaedic Center
Practice addresses (Care Compare)
1293 Professional Dr
Suite D
Myrtle Beach, SC 29577-5754
Phone (801) 440-5592
2760 Tricom St
North Charleston, SC 29406-9169
Phone (843) 300-8585
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.6 of 100
- Promoting interoperability
- 96
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220405002348 | SC | Practitioner - Physical Therapist in Private Practice | 7517353287 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Carolina Sports Medicine & Orthopaedic Center | Current |
Accepting new patients | |
| Wheelchair Clinic Inc | Physical Therapist | Current |
Accepting new patients |
Locations
1293 Professional Dr
Ste D
Myrtle Beach, SC 29577
Phone (801) 440-5592
2760 Tricom St
North Charleston, SC 29406
Phone (843) 300-8585
9100 Medcom St
North Charleston, SC 29406
Phone (843) 569-3367
2021 E Village Green Cir
Ste C
Draper, UT 84020
Phone (801) 440-5592
Interoperability endpoints
- https://api.platform.athenahealth.com/1516/brand/1/csg/1/fhir/r4
- stephanie.baker.1@1516.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11155 | SC | Yes |
Addresses
Primary practice location
4528 Ladson Rd
Summerville, SC 29485-8531
Mailing address
4528 Ladson Rd
Summerville, SC 29485-8531
Phone (843) 419-6393
Other providers in Summerville, SC
- Acuity Dental - Sda LLC
- Acuity Dentistry and Orthodontics
- Jennifer Anne Adair
- Carla Adams
- Leif Martin Adams
- Tera Adams
- Emily Addicks
- Durga Dhoj Adhikari
- Amy Adler
- Buenaventura III Adriano
All providers in Summerville, SC · Physical Therapist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.