Individual ProviderScott Adam SmithPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address209 Saint James Ave Ste 2b, Goose Creek, SC 29445-2998(843) 793-4466PECOS EnrollmentBased on the most recent information from CMS, provider Scott Adam Smith does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1871692632Provider TypeIndividualFull NameSmith, Scott AdamTitleMr.CredentialPTGenderMaleSole ProprietorNoEnumeration Date9/21/2006Last Updated8/19/2024Contact InformationPractice LocationPractice Address209 Saint James Ave Ste 2b, Goose Creek, SC 29445-2998Phone(843) 793-4466Fax(843) 793-3786Mailing LocationMailing Address209 Saint James Ave Ste 2b, Goose Creek, SC 29445-2998Phone(843) 793-4466Fax(843) 793-3786Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense6304South CarolinaCode2251X0800XDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicensePT28977California