Marianne Cromwell, PT,DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

SC5964 Issued in SC

Practice address

588 Old Mount Holly Rd
Goose Creek, SC 29445-2814

Phone

(843) 376-5595

Fax

(843) 797-7432

NPI assigned

Jan 13, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Coastal Orthopaedics and Spinal Surgery, PA

  • Orthopaedic Surgery Physician
  • New Bern, NC
  • NPI 1003174483

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1484265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1982140976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "588 OLD MOUNT HOLLY RD",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294452814",
            "telephone_number": "843-376-5595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "588 OLD MOUNT HOLLY RD",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294452814",
            "telephone_number": "843-376-5595",
            "fax_number": "843-797-7432"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2900 Charlevoix Dr SE",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495467085",
            "country_code": "US",
            "telephone_number": "336-486-0120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROMWELL",
        "first_name": "MARIANNE",
        "credential": "PT,DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P2923",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "SC5964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audra Costa
• Ashley Kouten Coughlin, BCBA
• Courtney Tanisha Cousin
• Frederick Couverette III, PT, DPT
• Michael W Cox, D.D.S., M.S.D.
• Kristen B. Cronin, OTR/L
• Saundra D. Cross, LPC, LPC-SC
• Crowfield Spine Center, P.a.
• Allison Ruth Crowley, LPC-A
• Nicholas Matthew Cundiff, DO

• All providers in Goose Creek, SC
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.