ANDREW JEFFREY LIETZOW DPT
NPI 1659926780
Physical Therapist in North Charleston, SC

Active since August 06, 2019Accepts Medicare Assignment
5111 N RHETT AVE, NORTH CHARLESTON, SC 29405(843) 804-9479(843) 804-9020 Get Directions Write a Review

NPPES record last updated: August 28, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 28, 2026, Aug 31, 2023, Aug 6, 2019 (3 updates tracked since 2019).

About Andrew Jeffrey Lietzow Dpt NPPES

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

ANDREW JEFFREY LIETZOW DPT (NPI 1659926780) is an individual physical therapist in North Charleston, South Carolina, licensed in South Carolina (9821) and active in the NPI registry since August 2019. He is a graduate of Other (2019).

NPPES Registry Identity

NPI1659926780
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameANDREW JEFFREY LIETZOWCredential: DPT
Location Address5111 N RHETT AVENorth Charleston, SC 29405-4219
Mailing Address5111 N Rhett AveNorth Charleston, SC 29405-4219 · (843) 804-9479 · Fax (843) 804-9020
Fax(843) 804-9020
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 6, 2019
Last NPPES UpdateAugust 28, 20263 updates tracked since enumeration
NPPES CertifiedAugust 28, 2026
✔ NPI 1659926780 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
License✔ Licensed in SC · 9821
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.
5111 N RHETT AVE, North Charleston, SC 29405

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andrew Jeffrey Lietzow Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395076053
PECOS Enrollment IDI20191010000434

Medicare Billing Reassignments

7

Medicare enrollment records show Andrew Lietzow reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Therapy
5111 N RHETT AVE
North Charleston, SC 29405
  • Reassigned Medicare billing, South Carolina enrollment
  • 20 clinicians in this Medicare group
Physical Therapy
142 SPORTSMAN ISLAND DRICE, STE F
Charleston, SC 29492
  • Reassigned Medicare billing, South Carolina enrollment
  • 17 clinicians in this Medicare group
Physical Therapy
2267 ASHLEY RIVER ROAD
Charleston, SC 29414
  • Reassigned Medicare billing, South Carolina enrollment
  • 21 clinicians in this Medicare group
Physical Therapy
1304 ERCKMANN DR UNIT C
Mt Pleasant, SC 29464
  • Reassigned Medicare billing, South Carolina enrollment
  • 20 clinicians in this Medicare group
Physical Therapist
1125 LANDAU LANE
Mt Pleasant, SC 29466
  • Reassigned Medicare billing, South Carolina enrollment
  • 20 clinicians in this Medicare group
Physical Therapist
141 ATRIUM WAY
Columbia, SC 29223
  • Reassigned Medicare billing, South Carolina enrollment
  • 57 clinicians in this Medicare group
Physical Therapist
800 N LAKE DR
Lexington, SC 29072
  • Reassigned Medicare billing, South Carolina enrollment
  • 455 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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
4,267 services286 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
1,388 services276 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
946 services205 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
400 services125 patients
Evaluation for physical therapy, typically 20 minutes 97161
An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.
191 services180 patients
Training for self-care or home management, each 15 minutes 97535
This service involves training sessions, each lasting 15 minutes, focused on teaching you essential self-care or home management skills. You'll learn techniques to manage your health condition at home, promoting independence and enhancing your quality of life.
190 services125 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29405 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

Clinic/Center (Physical Therapy)
5111 N RHETT AVE
NORTH CHARLESTON, SC 29405

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 Andrew Lietzow's NPI number?

The NPI number for Andrew Lietzow is 1659926780. It was assigned to this individual provider in the NPPES registry on August 6, 2019.

Where is Andrew Lietzow located?

Andrew Lietzow practices at 5111 N Rhett Ave, North Charleston, SC 29405. The listed phone number is (843) 804-9479.

What is Andrew Lietzow's specialty?

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

Is Andrew Lietzow enrolled in Medicare?

Yes. Andrew Lietzow is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Andrew Lietzow's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Lietzow reassigns Medicare benefits to 7 organizations: Imagine Physical Therapy North Rhett LLC (North Charleston, SC), Imagine Physical Therapy On Daniel Island LLC (Charleston, SC), Imagine Physical Therapy In West Ashley, LLC (Charleston, SC), Imagine Physical Therapy Old Village LLC (Mt Pleasant, SC), Imagine Physical Therapy LLC (Mt Pleasant, SC) and 2 more organizations, listed in the Medicare section above. Each 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 Andrew Lietzow's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrew Lietzow accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina and Oscar Health Plan, Inc. list Andrew Lietzow 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 Andrew Lietzow was last updated on August 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.