| Andrea Cordle, PT, ATC | |
|
Carolina Sports Clinic, 985 Market Street Suite 201, Fort Mill, SC 29708-6443 | |
| (803) 547-9800 | |
| (803) 547-9804 |
| Full Name | Andrea Cordle |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | Carolina Sports Clinic, Fort Mill, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750788147 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | P11528 (North Carolina) | Primary |
| 2255A2300X | Specialist/technologist - Athletic Trainer | LAT-1748 (North Carolina) | Secondary |
| Provider Name | Carolina Sports Clinic-fort Mill,llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1144605759 PECOS PAC ID: 8123336922 Enrollment ID: O20150928002538 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea Cordle, PT, ATC 985 Market St Ste 201, Fort Mill, SC 29708-6533 Ph: (803) 547-9800 | Andrea Cordle, PT, ATC Carolina Sports Clinic, 985 Market Street Suite 201, Fort Mill, SC 29708-6443 Ph: (803) 547-9800 |
Dr. Kristin Lynch, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 870 Gold Hill Rd, #103, Fort Mill, SC 29708 Phone: 803-835-6000 | |
Palmetto Rehabilitation Specialists, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 105 Ben Casey Dr Ste 127, Fort Mill, SC 29708 Phone: 803-802-5855 | |
Paige Margaret Bredder, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1988 Haire Rd, Fort Mill, SC 29715 Phone: 704-770-1364 | |
Jennifer Lynne Poirier, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1281 Lurecliff Pl, Fort Mill, SC 29708 Phone: 978-766-8320 | |
Mrs. Donna Gail Diedrich, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 104 Marshall St, Fort Mill, SC 29715 Phone: 803-547-6817 Fax: 803-547-2708 | |
Kristine Sweezey, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 985 Market St Ste 201, Fort Mill, SC 29708 Phone: 803-547-9800 Fax: 803-547-9804 | |
Ms. Mindy L Blitzer, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 206 Springcrest Dr, Fort Mill, SC 29715 Phone: 803-547-8128 |