Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Vivianna Chang

Individual provider Physical Therapist · NPI 1255210217

Vivianna Chang is a Physical Therapist in Private Practice in North Augusta, South Carolina. Qualified in 2025, 1 year ago. Practices with Benchmark Healthcare Services LLC, a 140-clinician group. Licensed in South Carolina.

Years since qualifying
1
Licensed in
SC
In the registry since
2025

Practice location Address checks out

104 Walnut Ln Ste 106
North Augusta, SC 29860-8684
Phone: (803) 599-5990
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 13069 (SC)

Record details

NPI number1255210217
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 2, 2025
Last updated in NPPESSeptember 2, 2025
Certification dateSeptember 2, 2025
Mailing address1200 Corporate Dr Ste 400, Hoover, AL 35242-5424

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Benchmark Healthcare Services Llc — 140 clinicians
Accepts Medicare assignment Not indicated

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