Individual provider Active NPI

Nicole Ortner, DPT

  • Physical Therapist
  • Aiken, SC
National Provider Identifier
1922450964
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8229 Issued in SC
Practice address
943 Pine Log Rd
Aiken, SC 29803-7330
Phone
(803) 649-9797
Fax
(803) 642-2759
NPI assigned
Jul 1, 2016
Last updated
Apr 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 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 8229 SC Primary

Addresses

Primary practice location

943 Pine Log Rd
Aiken, SC 29803-7330

Mailing address

943 Pine Log Rd
Aiken, SC 29803-7330
Phone (803) 649-9797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160822000033 SC Practitioner - Physical Therapist in Private Practice 5193010858 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Duke University School of Medicine, 2016
Medicare assignment
May accept Medicare assignment
Group practices
South Aiken Physical Therapy LLCGroup PAC ID 3678745320, 5 clinicians

Practice addresses (Care Compare)

943 Pine Log Rd
Aiken, SC 29803-7330
Phone (803) 649-9797

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8229SCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
South Aiken Physical Therapy, LLC Physical Therapist CurrentSince Oct 4, 2021 Accepting new patients

Locations

943 Pine Log Rd
Aiken, SC 29803
Phone (803) 648-2366

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": "1467331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1922450964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "943 PINE LOG RD",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298037330",
            "telephone_number": "803-649-9797",
            "fax_number": "803-642-2759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "943 PINE LOG RD",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298037330",
            "telephone_number": "803-649-9797",
            "fax_number": "803-642-2759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTNER",
        "first_name": "NICOLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-01",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "8229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.