Ross Gardner, DPT
Physical Therapist in Summerville, SC. Individual provider (NPI-1).
NPI number1669944831
StatusActive
Last updated in NPPESJan 28, 2025
Details
- NPI
- 1669944831
- Entity type
- Individual (NPI-1)
- Name
- Ross Gardner
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 27, 2018
- Certification date
- Jan 28, 2025
- Last updated
- Jan 28, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 11763 | SC | Yes |
| 2251P0200X | Physical Therapist, Pediatrics | – | – |
Practice location
211 Squire Pope RdSummerville, SC 29486-6999
Phone 208-613-7361 · Fax 843-892-8444
Mailing address
211 Squire Pope RdSummerville, SC 29486-6999
Phone 208-613-7361 · Fax 843-892-8444
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 124 Physical Therapist providers in Summerville · All 2,710 providers in Summerville
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