Individual provider Active NPI

Carrie E Black, DPT

  • Physical Therapist
  • Elgin, SC
National Provider Identifier
1972801876
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP034972T Issued in SC
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

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110524000805 LA Practitioner - Physical Therapist in Private Practice 0648456848 Reassigns benefits to 1 organization
I20250203000383 SC Practitioner - Physical Therapist in Private Practice 0648456848 Reassigns benefits to 3 organizations

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
Drayer Physical Therapy-South Carolina ,LLCGroup PAC ID 7315171394, 43 clinicians

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

OrganizationSpecialtyStatusNew patients
Agilitas USA Inc Physical Therapist CurrentSince Dec 18, 2024 Accepting new patients
Benchmark Healthcare Services, LLC Physical Therapist CurrentSince Dec 18, 2024 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Dec 18, 2024 Accepting new patients
Drayer Physical Therapy - South Carolina, LLC Physical Therapist CurrentSince Dec 18, 2024 Accepting new patients
Drayer Physical Therapy-South Carolina, LLC Physical Therapist CurrentSince Dec 18, 2024 Accepting new patients
Benchmark Health Services Physical Therapist CurrentSince Dec 18, 2024 Accepting new patients
Culicchia Neurological Clinic, LLC CurrentSince Mar 25, 2011 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.

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.

Verify at the official NPI Registry.