| Grace Physical Therapy, Llc | |
|
440 Unit D Old Trolley Road, Summerville, SC 29485 | |
| (843) 871-3522 | |
| (843) 871-3523 |
| Full Name | Grace Physical Therapy, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 440 Unit D Old Trolley Road, Summerville, 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 |
|---|---|---|---|
| 1356544415 | NPI | - | NPPES |
| GP5224 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 3858 (South Carolina) | Primary |
| Provider Name | Andrea Rene Gunn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154347763 PECOS PAC ID: 5698778348 Enrollment ID: I20060817000604 |
| Provider Name | Jared Lethco |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033521596 PECOS PAC ID: 1951527662 Enrollment ID: I20140731002572 |
| Provider Name | Emily M Hill |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528468998 PECOS PAC ID: 3476844036 Enrollment ID: I20160629000879 |
| Provider Name | Mary E Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487184214 PECOS PAC ID: 3971876319 Enrollment ID: I20170906001536 |
| Provider Name | Deepa V Patel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821624479 PECOS PAC ID: 1456781921 Enrollment ID: I20200423002726 |
| Provider Name | Mark A Rentfrow |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720733165 PECOS PAC ID: 6709272388 Enrollment ID: I20221026002258 |
| Provider Name | Tiani L Bradford |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215620794 PECOS PAC ID: 2668832205 Enrollment ID: I20230714001283 |
| Provider Name | Shelby D Landrum |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669184487 PECOS PAC ID: 9335500131 Enrollment ID: I20230726001819 |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Physical Therapy, Llc 440 Unit D Old Trolley Road, Summerville, SC 29485 Ph: (843) 871-3522 | Grace Physical Therapy, Llc 440 Unit D Old Trolley Road, Summerville, SC 29485 Ph: (843) 871-3522 |
Haleigh Vaughan, Physical Therapist Medicare: Medicare Enrolled Practice Location: 370 E 5th North St, Summerville, SC 29483 Phone: 843-737-6913 | |
Mrs. Jessica Lee Wooten, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 93b Springview Ln, Summerville, SC 29485 Phone: 843-875-4770 | |
Taylor Asher, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1718 State Rd Ste 7, Summerville, SC 29486 Phone: 843-303-9418 | |
Donnie Arastus Gay, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9512 Dorchester Rd Ste 140, Summerville, SC 29485 Phone: 843-695-7970 Fax: 843-695-7971 | |
Lorenzo Philip Bianco, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10160 Dorchester Rd, Summerville, SC 29485 Phone: 843-851-5820 | |
Nancy Pritchard Jackson, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 950 Travelers Blvd, Summerville, SC 29485 Phone: 843-832-8481 Fax: 843-832-8621 | |
Homegrown Pt Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 211 Squire Pope Rd, Summerville, SC 29486 Phone: 208-613-7361 Fax: 843-892-8444 |