Tory R Guilliam, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10392 Issued in SC

Practice address

1203 Old Trolley Rd Ste F
Summerville, SC 29485-5296

Phone

(843) 486-0999

Fax

(843) 486-0989

NPI assigned

Mar 22, 2021

Last updated

Mar 22, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

East Point Rehabilitation LLCGroup PAC ID 3577651223, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• East Point Rehabilitation LLC

  • Physical Therapist
  • Oregon, OH
  • NPI 1992991574
  Medicare reassignment Care Compare group NPD
• Healtherapy Partners Inc

  • Physical Medicine & Rehabilitation Physician
  • Toledo, OH
  • NPI 1568453355

  Physical Therapist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1922684901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 OLD TROLLEY RD STE F",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294855296",
            "telephone_number": "843-486-0999",
            "fax_number": "843-486-0989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 OLD TROLLEY RD STE F",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294855296",
            "telephone_number": "843-486-0999",
            "fax_number": "843-486-0989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILLIAM",
        "first_name": "TORY",
        "middle_name": "R",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "10392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grosso Orthodontics, LLC (Grosso Kids Pediatric Dentistry)
• Guerins Pharmacy Inc
• Ashton Guichard, NP
• Jared Guichard
• Wallace Lyndon Guilford III, D.M.D.
• Alexandra Gumen, RDN
• Alyssa Gustafson, RDH
• Veronica Guy, DMD
• Jenni Lisa Hackenberg
• Rebecca D Hackett, LPC

• Physical Therapist in Summerville, SC
• Providers in Summerville, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; 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.