Imagine Physical Therapy Old Village LLC
NPI 1477937662 · Physical Therapy Clinic/Center · Mt Pleasant, SC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Imagine Physical Therapy Old Village LLC is a Physical Therapy Clinic/Center organization in Mt Pleasant, SC (NPI 1477937662).
Provider details
- NPI number
- 1477937662
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Beth Williamson, Credentialing Specialist(843) 804-9479
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-07-17
- Last updated
- 2022-08-03
- Certified
- 2022-08-03
Frequently asked questions
- What is Imagine Physical Therapy Old Village LLC's NPI number?
- Imagine Physical Therapy Old Village LLC's National Provider Identifier (NPI) is 1477937662, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Imagine Physical Therapy Old Village LLC?
- Imagine Physical Therapy Old Village LLC is classified in the NPPES registry as Physical Therapy Clinic/Center (Ambulatory Health Care Facilities).
- Where is Imagine Physical Therapy Old Village LLC located?
- Imagine Physical Therapy Old Village LLC's practice location on file with NPPES is 1304 Erckmann Dr Unit C, Mt Pleasant, SC 29464-5536.
- What is Imagine Physical Therapy Old Village LLC's phone number?
- The practice phone number listed in the NPPES registry for Imagine Physical Therapy Old Village LLC is (843) 971-7668.
- Does Imagine Physical Therapy Old Village LLC accept Medicare?
- Imagine Physical Therapy Old Village LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Imagine Physical Therapy Old Village LLC?
- The authorized official listed on Imagine Physical Therapy Old Village LLC's NPPES record is Beth Williamson, Credentialing Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Imagine Physical Therapy Old Village LLC's NPI active?
- Yes — Imagine Physical Therapy Old Village LLC's NPI (1477937662) is active in the NPPES registry as of the last update on 2022-08-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.