Individual provider Active NPI

William Daniel Avery, DPT

  • Physical Therapist
  • Charleston, SC
National Provider Identifier
1982837696
Registry record updated Mar 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5957 Issued in SC
Practice address
445 Savannah Hwy
Charleston, SC 29407-7207
Phone
(843) 766-2121
Fax
(843) 766-8644
NPI assigned
Aug 27, 2009
Last updated
Mar 11, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5957 SC Primary

Addresses

Primary practice location

445 Savannah Hwy
Charleston, SC 29407-7207

Mailing address

445 Savannah Hwy
Charleston, SC 29407-7207
Phone (843) 766-2121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101213000457 SC Practitioner - Physical Therapist in Private Practice 9234254160 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Private Therapy Services LLCGroup PAC ID 7810978616, 16 clinicians

Practice addresses (Care Compare)

1539 Johnnie Dodds Blvd
Mount Pleasant, SC 29464-3209
Phone (843) 766-2121

445 Savannah Hwy
Charleston, SC 29407-7207
Phone (843) 766-2121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5957SCMDPhysical Therapist
36778CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Private Therapy Services LLC Physical Therapist CurrentSince Sep 13, 2010 Accepting new patients
Adventist Health Clearlake Hospital Inc. Past Accepting new patients
Clear Lake Physical Therapy Inc Physical Therapist Past Accepting new patients

Locations

445 Savannah Hwy
Charleston, SC 29407
Phone (843) 766-2121

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394496000000",
    "number": "1982837696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 SAVANNAH HWY",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077207",
            "telephone_number": "843-766-2121",
            "fax_number": "843-766-8644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 SAVANNAH HWY",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077207",
            "telephone_number": "843-766-2121",
            "fax_number": "843-766-8644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVERY",
        "first_name": "WILLIAM",
        "middle_name": "DANIEL",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-27",
        "last_updated": "2014-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "5957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; 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.