Imagine Physical Therapy On Daniel Island Llc | |
142 Sportsman Island Drice, Ste F, Charleston, SC 29492 | |
(843) 377-8820 | |
(843) 804-9020 |
Full Name | Imagine Physical Therapy On Daniel Island Llc |
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Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 142 Sportsman Island Drice, Charleston, 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 |
---|---|---|---|
1972770733 | NPI | - | NPPES |
GP5119 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Provider Name | John A Mart |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1144255167 PECOS PAC ID: 2668498601 Enrollment ID: I20051019000927 |
Provider Name | Ryan P Hill |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1679860647 PECOS PAC ID: 2365613015 Enrollment ID: I20110929000179 |
Provider Name | Cassie Jo Mccandless |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1912309303 PECOS PAC ID: 9830413111 Enrollment ID: I20150114001580 |
Provider Name | Britta E Anderson |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1396125613 PECOS PAC ID: 7416262969 Enrollment ID: I20150813009840 |
Provider Name | Wehme Pt Hutto |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1619416336 PECOS PAC ID: 1759668809 Enrollment ID: I20170427002200 |
Provider Name | Collin T Weyer |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1801324181 PECOS PAC ID: 4981976008 Enrollment ID: I20170823003266 |
Provider Name | Joseph Timothy Schriver |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1538683222 PECOS PAC ID: 4082980263 Enrollment ID: I20171017001658 |
Provider Name | Kristen Elizabeth Gallagher |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1326578949 PECOS PAC ID: 3375893589 Enrollment ID: I20180910002660 |
Provider Name | Taylor A Young |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1144713892 PECOS PAC ID: 1951651017 Enrollment ID: I20180911002209 |
Provider Name | Aaron Hennigan |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1891288205 PECOS PAC ID: 4486905445 Enrollment ID: I20181002000014 |
Provider Name | Travis L Wood |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1619527827 PECOS PAC ID: 4880028380 Enrollment ID: I20191216001357 |
Provider Name | Apsley Milford |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1770107559 PECOS PAC ID: 5193121648 Enrollment ID: I20210908002397 |
Provider Name | Samuel C Jackson |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1811511199 PECOS PAC ID: 2163820481 Enrollment ID: I20211018000258 |
Provider Name | Macy N Alexander |
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Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1215684121 PECOS PAC ID: 6608262480 Enrollment ID: I20220404001084 |
Provider Name | Emily Sligh |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1962141432 PECOS PAC ID: 2860875341 Enrollment ID: I20220816002140 |
Provider Name | Victoria Conroy |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1730818923 PECOS PAC ID: 8527441013 Enrollment ID: I20220816002444 |
Provider Name | Carl G Botero |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1205564473 PECOS PAC ID: 8022494590 Enrollment ID: I20221006001613 |
Provider Name | Katherine Kane |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1952840266 PECOS PAC ID: 2163887159 Enrollment ID: I20230426001694 |
Provider Name | Brooke E Hansen |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1699454397 PECOS PAC ID: 7618339896 Enrollment ID: I20230821001520 |
Provider Name | Laurel Museck |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1407539257 PECOS PAC ID: 0345694972 Enrollment ID: I20230929001708 |
Mailing Address | Practice Location Address |
---|---|
Imagine Physical Therapy On Daniel Island Llc Imagine Physical Therapy, 5111 North Rhett Avenue, North Charleston, SC 29405-4219 Ph: (843) 804-9077 | Imagine Physical Therapy On Daniel Island Llc 142 Sportsman Island Drice, Ste F, Charleston, SC 29492 Ph: (843) 377-8820 |