| Pivotal Injury And Rehab Inc | |
|
103 Sum Mor Dr, West Columbia, SC 29169-4828 | |
| (803) 254-4699 | |
| (803) 851-1235 |
| Full Name | Pivotal Injury And Rehab Inc |
|---|---|
| Type | Facility |
| Speciality | Clinic/center - Multi-specialty |
| Location | 103 Sum Mor Dr, West Columbia, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386150613 | NPI | - | NPPES |
| Provider Name | Ryan Bowers |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1679899488 PECOS PAC ID: 6002096658 Enrollment ID: I20110214000842 |
| Provider Name | John Evans Stavrakos |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1063426724 PECOS PAC ID: 3274563440 Enrollment ID: I20161003000443 |
| Provider Name | Ashley Torroni Hazelrigg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477017606 PECOS PAC ID: 2769725423 Enrollment ID: I20190521000279 |
| Provider Name | Angelina Dow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376137745 PECOS PAC ID: 2961891999 Enrollment ID: I20211113000041 |
| Provider Name | Hannah Rhea Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285228403 PECOS PAC ID: 0042694416 Enrollment ID: I20220902001130 |
| Provider Name | Robert Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366023574 PECOS PAC ID: 7416395090 Enrollment ID: I20240402000601 |
| Provider Name | Katina Pipkins-byrd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295570497 PECOS PAC ID: 9739620493 Enrollment ID: I20240920002271 |
| Mailing Address | Practice Location Address |
|---|---|
| Pivotal Injury And Rehab Inc Po Box 2632, Lexington, SC 29071-2632 Ph: (803) 218-9886 | Pivotal Injury And Rehab Inc 103 Sum Mor Dr, West Columbia, SC 29169-4828 Ph: (803) 254-4699 |