Individual provider Active NPI

Ellen Todd, PT, DPT

  • Physical Therapist
  • North Myrtle Beach, SC
National Provider Identifier
1932647948
Registry record updated Oct 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9004 Issued in SC
Practice address
1021 2ND Ave N Ste 6
North Myrtle Beach, SC 29582-3200
Phone
(843) 450-9177
NPI assigned
Feb 9, 2017
Last updated
Oct 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 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 9004 SC Primary

Addresses

Primary practice location

1021 2ND Ave N Ste 6
North Myrtle Beach, SC 29582-3200

Mailing address

1021 2ND Ave N Ste 6
North Myrtle Beach, SC 29582-3200
Phone (843) 450-9177

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180625000517 SC Practitioner - Physical Therapist in Private Practice 1658626197 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Hand and Upper Extremity TherapyGroup PAC ID 3678904620, 6 clinicians

Practice addresses (Care Compare)

1021 2ND Ave N
Suite 6
North Myrtle Beach, SC 29582-3200
Phone (843) 286-5168

603 Briarwood Dr
B
Myrtle Beach, SC 29572-5745
Phone (843) 564-3339

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9004SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Health Care Management LLC Physical Therapist CurrentSince Sep 1, 2022 Accepting new patients
Creative Health Care Management, LLC Physical Therapist CurrentSince Sep 1, 2022 Accepting new patients
Elite Hand and Upper Extremity Therapy CurrentSince Dec 13, 2022 Accepting new patients
Greenville Proaxis Therapy, LLC Physical Therapist CurrentSince Jun 1, 2018 Accepting new patients
Greenville Proaxis Therapy LLC CurrentSince Jun 1, 2018 Accepting new patients
Healing Beach LLC Physical Therapist CurrentSince Mar 4, 2026 Accepting new patients

Locations

33205 Collection Ctr Dr
Chicago, IL 60693

10 S 9th St
Ste 4
Noblesville, IN 46060

103 N Main St
Ste 201
Greenville, SC 29601
Phone (864) 528-5753

11951 Grandhaven Dr
Murrells Inlet, SC 29576
Phone (843) 357-0200

603 Briarwood Dr
#B
Myrtle Beach, SC 29572
Phone (843) 564-3339

1021 2nd Ave N
Ste 6
North Myrtle Beach, SC 29582
Phone (304) 676-2077

Organizations & group practices 6

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": "1486598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696118400000",
    "number": "1932647948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 2ND AVE N STE 6",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295823200",
            "telephone_number": "843-450-9177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 2ND AVE N STE 6",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295823200",
            "telephone_number": "843-450-9177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODD",
        "first_name": "ELLEN",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-09",
        "last_updated": "2023-10-01",
        "certification_date": "2023-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "9004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.