| Hartsville Physical Therapy & Rehabilitation Center Llc. | |
|
107 N 8th St, Hartsville, SC 29550-4105 | |
| (843) 857-4343 | |
| (843) 857-4345 |
| Full Name | Hartsville Physical Therapy & Rehabilitation Center Llc. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 107 N 8th St, Hartsville, 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 |
|---|---|---|---|
| 1427087113 | NPI | - | NPPES |
| GP3924 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 3280 (South Carolina) | Secondary |
| 225100000X | Physical Therapist | 2899 (South Carolina) | Primary |
| Provider Name | Jose Nephtali Guevarra |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518996339 PECOS PAC ID: 6406804004 Enrollment ID: I20050111000217 |
| Mailing Address | Practice Location Address |
|---|---|
| Hartsville Physical Therapy & Rehabilitation Center Llc. 107 N 8th St, Hartsville, SC 29550-4105 Ph: (843) 857-4343 | Hartsville Physical Therapy & Rehabilitation Center Llc. 107 N 8th St, Hartsville, SC 29550-4105 Ph: (843) 857-4343 |
Dennis Theobald, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 313 W Carolina Ave, Hartsville, SC 29550 Phone: 843-332-7750 Fax: 843-332-7754 | |
Mr. Allen Michael Brown, MPT, MBA Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1109 S 5th St, Suite L, Hartsville, SC 29550 Phone: 843-861-2127 | |
Mary Elizabeth Watkins, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 701 Medical Park Dr, Hartsville, SC 29550 Phone: 843-383-5191 | |
Jordan Fust, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1304 W Bobo Newsom Hwy, Hartsville, SC 29550 Phone: 501-827-9935 | |
Dr. Bridget Dix, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1304 W Bobo Newsom Hwy, Hartsville, SC 29550 Phone: 843-383-5370 | |
Mr. Jose Nephtali Guevarra, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 107 N 8th St, Hartsville, SC 29550 Phone: 843-857-4343 Fax: 843-857-4345 |