SAMUEL WORTHEN
NPI 1174443378
Physical Therapist in Moncks Corner, SC

Active since July 17, 2026
116 FOXBANK PLANTATION BLVD STE E, MONCKS CORNER, SC 29461(843) 761-4622 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Samuel Worthen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMUEL WORTHEN (NPI 1174443378) is an individual physical therapist in Moncks Corner, South Carolina and active in the NPI registry since July 2026. He is a graduate of Other (2026).

NPPES Registry Identity

NPI1174443378
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameSAMUEL WORTHEN
Location Address116 FOXBANK PLANTATION BLVD STE EMoncks Corner, SC 29461-6741
Mailing Address2001 Butterfield Rd Ste 1600Downers Grove, IL 60515-1211
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateJuly 17, 2026
NPPES CertifiedJuly 17, 2026
✔ NPI 1174443378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
116 FOXBANK PLANTATION BLVD STE E, Moncks Corner, SC 29461

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samuel Worthen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103386909
PECOS Enrollment IDI20260901001702

Medicare Billing Reassignment

Medicare enrollment records show Samuel Worthen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
1730 SAVANNAH HWY
Charleston, SC 29407
  • Reassigned Medicare billing, South Carolina enrollment
  • 198 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
116 FOXBANK PLANTATION BLVD STE E
MONCKS CORNER, SC 29461
Physical Therapist
116 FOXBANK PLANTATION BLVD STE E
MONCKS CORNER, SC 29461
Physical Therapist
116 FOXBANK PLANTATION BLVD STE E
MONCKS CORNER, SC 29461
Physical Therapist
116 FOXBANK PLANTATION BLVD STE E
MONCKS CORNER, SC 29461
Physical Therapist
116 FOXBANK PLANTATION BLVD STE E
MONCKS CORNER, SC 29461
Physical Therapist
116 FOXBANK PLANTATION BLVD STE E
MONCKS CORNER, SC 29461
Physical Therapist
116 FOXBANK PLANTATION BLVD STE E
MONCKS CORNER, SC 29461

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Worthen's NPI number?

The NPI number for Samuel Worthen is 1174443378. It was assigned to this individual provider in the NPPES registry on July 17, 2026.

Where is Samuel Worthen located?

Samuel Worthen practices at 116 Foxbank Plantation Blvd Ste E, Moncks Corner, SC 29461. The listed phone number is (843) 761-4622.

What is Samuel Worthen's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Samuel Worthen enrolled in Medicare?

Yes. Samuel Worthen is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Samuel Worthen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Worthen reassigns Medicare benefits to Rsfh - Ati Physical Therapy, LLC (Charleston, SC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samuel Worthen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Samuel Worthen was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.