Ellen Fay Patrick, PT | |
119 Office Park Dr, Orangeburg, SC 29118-2407 | |
(803) 536-5509 | |
(843) 536-4104 |
Full Name | Ellen Fay Patrick |
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Gender | Female |
Speciality | Physical Therapist |
Location | 119 Office Park Dr, Orangeburg, 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 |
---|---|---|---|
1245459007 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 3354 (South Carolina) | Primary |
Provider Name | Greenville Proaxis Therapy Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1669457859 PECOS PAC ID: 0244267771 Enrollment ID: O20050726000769 |
Mailing Address | Practice Location Address |
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Ellen Fay Patrick, PT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: (630) 296-2223 | Ellen Fay Patrick, PT 119 Office Park Dr, Orangeburg, SC 29118-2407 Ph: (803) 536-5509 |
Benchmark Healthcare Service Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1304 Glen Gloria St, Orangeburg, SC 29118 Phone: 803-937-5489 | |
Shanelle Natalie Balfour, P. T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1620 Broughton St, Orangeburg, SC 29115 Phone: 803-534-4050 Fax: 803-534-0408 | |
Neil Gallagher, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2650 Saint Matthews Rd, Orangeburg, SC 29118 Phone: 803-536-5509 | |
Emily Lauren Walker, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2650 Saint Matthews Rd, Orangeburg, SC 29118 Phone: 803-536-5509 Fax: 803-536-4104 | |
Mr. John Christopher Lukowski, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3000 Saint Matthews Rd, Orangeburg, SC 29118 Phone: 803-395-4380 Fax: 803-395-4376 | |
Ryan Hagerty, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1304 Glen Gloria St, Orangeburg, SC 29118 Phone: 423-682-8840 |