| Briana Bacon, | |
|
3634a Sunset Blvd, West Columbia, SC 29169 | |
| (803) 451-0244 | |
| (803) 451-0245 |
| Full Name | Briana Bacon |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 3634a Sunset Blvd, West Columbia, 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 |
|---|---|---|---|
| 1982065371 | NPI | - | NPPES |
| 8053 | Other | SC | PT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 8053 (South Carolina) | Primary |
| Provider Name | Coastal Movement Specialists Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1780293837 PECOS PAC ID: 9133547425 Enrollment ID: O20201029000115 |
| Mailing Address | Practice Location Address |
|---|---|
| Briana Bacon, Po Box 3408, Irmo, SC 29063-4015 Ph: (803) 422-0247 | Briana Bacon, 3634a Sunset Blvd, West Columbia, SC 29169 Ph: (803) 451-0244 |
William Jaimes, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2993 Sunset Blvd, West Columbia, SC 29169 Phone: 803-939-0026 | |
Progressive Physical Therapy West Columbia Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3240 Sunset Blvd, West Columbia, SC 29169 Phone: 803-796-8377 Fax: 803-796-8378 | |
Michael Brett Shealy, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 222 E Medical Ln Ste 100&200, West Columbia, SC 29169 Phone: 803-935-8410 Fax: 803-936-7816 | |
Physical Rehabilitation Group Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 211 Medical Cir, West Columbia, SC 29169 Phone: 803-451-0244 Fax: 803-451-0245 | |
Physical Rehabilitation Group, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 211 Medical Cir, West Columbia, SC 29169 Phone: 803-732-5887 Fax: 803-732-5997 | |
Lauren Michelle Audlin, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169 Phone: 803-791-2000 | |
Sarah Dominique Meek Springer, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1311 Augusta Rd, West Columbia, SC 29169 Phone: 803-926-7204 |