Active NPI
Carrie E Black, DPT
- Physical Therapist
- Elgin, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- CP034972T
- Practice address
- 161 Pontiac Business Center Dr Ste 1188
Elgin, SC 29045-7123 - Phone
- (803) 708-1536
- NPI assigned
- Mar 2, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | CP034972T | SC | Primary |
| Physical Therapist | 225100000X | 05127 | LA |
Addresses
Primary practice location
161 Pontiac Business Center Dr Ste 1188
Elgin, SC 29045-7123
Mailing address
1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217
Other practice location 1
111 Medical Center Blvd
Ste S-750
Marrero, LA 70072
Phone (504) 934-8182
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA, SC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Emory University School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
161 Pontiac Business Ctr Dr
Suite 1188
Elgin, SC 29045-7123
Phone (803) 708-1536
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agilitas USA Inc | Physical Therapist | Current | Accepting new patients |
| Benchmark Healthcare Services, LLC | Physical Therapist | Current | Accepting new patients |
| Agilitas USA, Inc | Physical Therapist | Current | Accepting new patients |
| Drayer Physical Therapy - South Carolina, LLC | Physical Therapist | Current | Accepting new patients |
| Drayer Physical Therapy-South Carolina, LLC | Physical Therapist | Current | Accepting new patients |
| Benchmark Health Services | Physical Therapist | Current | Accepting new patients |
| Culicchia Neurological Clinic, LLC | Current | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
1111 Medical Center Blvd
Ste S750
Marrero, LA 70072
1111 Medical Center Blvd
Marrero, LA 70072
Phone (504) 349-2332
161 Pontiac Business Center Dr
Ste 1188
Elgin, SC 29045
Phone (803) 708-1536
1000 Tanner Ford Blvd
Ste 370
Hanahan, SC 29410
Phone (843) 718-1058
7585 Saint Andrews Rd
Irmo, SC 29063
Phone (803) 749-5031
7955 N Kings Hwy
Ste 330
Myrtle Beach, SC 29572
Phone (843) 945-1815
3032 W Montague Ave
Ste 101
North Charleston, SC 29418
Phone (843) 885-8772
1672 N Main St
Ste 11
Summerville, SC 29486
Phone (843) 289-1456
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Columbia, SC
- NPI 1841622354
-
- Specialist
- Marrero, LA
- NPI 1376669952
-
- Physical Therapist
- Easley, SC
- NPI 1457842643
-
- Physical Therapist
- Camden, SC
- NPI 1154816833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736899200000",
"number": "1972801876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CORPORATE DR STE 400",
"city": "HOOVER",
"state": "AL",
"postal_code": "352425424",
"telephone_number": "423-238-7217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 PONTIAC BUSINESS CENTER DR STE 1188",
"city": "ELGIN",
"state": "SC",
"postal_code": "290457123",
"telephone_number": "803-708-1536"
}
],
"practiceLocations": [
{
"address_1": "111 Medical Center Blvd",
"address_2": "Ste S-750",
"address_purpose": "LOCATION",
"city": "Marrero",
"state": "LA",
"postal_code": "70072",
"country_code": "US",
"telephone_number": "504-934-8182",
"fax_number": "504-349-6983",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLACK",
"first_name": "CARRIE",
"middle_name": "E",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-02",
"last_updated": "2025-01-15",
"certification_date": "2025-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "CP034972T",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "05127",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elgin, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.