Individual provider Active NPI

Carolyn Louise Barrett

  • Physical Medicine & Rehabilitation Physician
  • Beaufort, SC
National Provider Identifier
1982174959
Registry record updated Dec 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
9408 Issued in SC
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.

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 (8 clinicians)

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 IDStateProvider typePAC IDDetails
I20190131002471 SC Practitioner - Physical Therapist in Private Practice 7214274042 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
9408SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Gravity Physical Therapy, Inc. Current
since Dec 7, 2018
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)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 9408 SC Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.