Active NPI
Carolyn Louise Barrett
- Physical Medicine & Rehabilitation Physician
- Beaufort, SC
National Provider Identifier
1982174959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 9408
- Practice address
- 2127 Boundary St Ste 18B
Beaufort, SC 29902-3874 - Phone
- (843) 524-4778
- Fax
- (843) 524-4779
- NPI assigned
- Dec 3, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 Therapy Clinic/Center
- Beaufort, SC
- NPI 1710363999
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Gravity Physical Therapy Inc
Practice addresses (Care Compare)
2121 Boundary St
Suite 200
Beaufort, SC 29902-6812
Phone (843) 524-4778
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190131002471 | SC | Practitioner - Physical Therapist in Private Practice | 7214274042 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9408 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gravity Physical Therapy, Inc. | Current |
Accepting new patients |
Locations
2121 Boundary St
Ste 200
Beaufort, SC 29902
Phone (843) 524-4778
2127 Boundary St
Ste 18B
Beaufort, SC 29902
Phone (843) 263-6599
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 9408 | SC | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2127 Boundary St Ste 18B
Beaufort, SC 29902-3874
Mailing address
PO Box 2585
Beaufort, SC 29901-2585
Phone (843) 524-4778
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 3, 2018.
{
"created_epoch": "1543795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543795200000",
"number": "1982174959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2585",
"city": "BEAUFORT",
"state": "SC",
"postal_code": "299012585",
"telephone_number": "843-524-4778",
"fax_number": "843-524-4779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2127 BOUNDARY ST STE 18B",
"city": "BEAUFORT",
"state": "SC",
"postal_code": "299023874",
"telephone_number": "843-524-4778",
"fax_number": "843-524-4779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRETT",
"first_name": "CAROLYN",
"middle_name": "LOUISE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-03",
"last_updated": "2018-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "SC",
"license": "9408",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaufort, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2018; 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.