IMAGINE PHYSICAL THERAPY OLD VILLAGE LLC
NPI 1477937662
Clinic/Center - Physical Therapy in Mt Pleasant, SC
About Imagine Physical Therapy Old Village Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IMAGINE PHYSICAL THERAPY OLD VILLAGE LLC (NPI 1477937662) is a healthcare organization registered as a physical therapy in Mt Pleasant, South Carolina and active in the NPI registry since July 2015. The organization lists Beth Williamson, Credentialing Specialist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Imagine Physical Therapy Old Village Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
20Medicare enrollment records show 20 clinicians reassign Medicare billing to Imagine Physical Therapy Old Village LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 11 within 10 miles. They are listed nearest first.
Clinicians, nearest first (20)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Imagine Physical Therapy Old Village LLC's NPI number?
The NPI number for Imagine Physical Therapy Old Village LLC is 1477937662. It was assigned to this organization in the NPPES registry on July 17, 2015.
Where is Imagine Physical Therapy Old Village LLC located?
Imagine Physical Therapy Old Village LLC is located at 1304 Erckmann Dr Unit C, Mt Pleasant, SC 29464. The listed phone number is (843) 971-7668.
What is Imagine Physical Therapy Old Village LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.
Is Imagine Physical Therapy Old Village LLC enrolled in Medicare?
Yes. Imagine Physical Therapy Old Village LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Imagine Physical Therapy Old Village LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 20 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Imagine Physical Therapy Old Village LLC. A 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 the clinician's services. Of these, 2 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Imagine Physical Therapy Old Village LLC accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next and 1 other insurer list Imagine Physical Therapy Old Village LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Imagine Physical Therapy Old Village LLC was last updated on August 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Imagine Physical Therapy Old Village Llc · NPI 1477937662
Physical Therapy organization in Mt Pleasant, South Carolina. Organization record, active in the CMS NPPES registry since July 17, 2015.
## Identity
- **NPI:** 1477937662 (Entity type: Organization)
- **Enumerated:** July 17, 2015
- **Primary specialty:** Clinic/Center - Physical Therapy · taxonomy 261QP2000X
- **Organization subpart:** No
- **Authorized official:** Beth Williamson, CREDENTIALING SPECIALIST
## Practice location
- **Address:** 1304 ERCKMANN DR UNIT C, Mt Pleasant, SC 29464-5536
- **Phone:** (843) 971-7668 · **Fax:** (843) 971-7666
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 20 clinicians (Physical Therapist in Private Practice) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address and 11 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 3, 2022
- **Other identifiers:** Medicaid GP6984 (SC)
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Source: [NPI Profile](https://npiprofile.com/npi/1477937662) · Data from the CMS NPPES public registry.