Individual provider Active NPI

Stacey Whatley Harward, MSR PT ATC

  • Orthopedic Physical Therapist
  • Easley, SC
National Provider Identifier
1992712079
Registry record updated Jun 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
4494 Issued in SC
Practice address
227 S Pendleton St Ste B
Easley, SC 29640-3047
Phone
(864) 855-7030
Fax
(864) 855-7019
NPI assigned
Aug 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 4494 SC Primary

Addresses

Primary practice location

227 S Pendleton St Ste B
Easley, SC 29640-3047

Mailing address

227 S Pendleton St Ste B
Easley, SC 29640-3047
Phone (864) 855-7030

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170404000105 SC Practitioner - Physical Therapist in Private Practice 2163431446 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

227 S Pendleton St
Suite B
Easley, SC 29640-3084
Phone (864) 855-7030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4494SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Upstate Rehab Services CurrentSince Sep 23, 2024 Accepting new patients
Upstate Physical Therapy Orthopedic CurrentSince Sep 23, 2024 Accepting new patients
Dosher Physical Therapy Associates Inc Orthopedic CurrentSince Oct 21, 2019 Accepting new patients
Southeastern Physical Therapy, LLC Orthopedic Past Accepting new patients

Locations

120 Mutual Dr
Anderson, SC 29621
Phone (864) 261-3313

227 S Pendleton St
Ste B
Easley, SC 29640
Phone (864) 855-7030

3150 Highway 153
Piedmont, SC 29673
Phone (846) 605-0018

Organizations & group practices 4

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": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591833600000",
    "number": "1992712079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 S PENDLETON ST STE B",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296403047",
            "telephone_number": "864-855-7030",
            "fax_number": "864-855-7019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 S PENDLETON ST STE B",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296403047",
            "telephone_number": "864-855-7030",
            "fax_number": "864-855-7019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARWARD",
        "first_name": "STACEY",
        "middle_name": "WHATLEY",
        "name_prefix": "Mrs.",
        "credential": "MSR PT ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "SC",
            "license": "4494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easley, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; 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.