| Island P.t.,llc | |
|
4600 Goer Dr Ste 205, North Charleston, SC 29406-6536 | |
| (843) 744-5527 | |
| (843) 746-9246 |
| Full Name | Island P.t.,llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 4600 Goer Dr Ste 205, North 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 |
|---|---|---|---|
| 1942454145 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 4091 (South Carolina) | Primary |
| Provider Name | Derek A Sessions |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326017914 PECOS PAC ID: 9133276314 Enrollment ID: I20090406000029 |
| Provider Name | Kathryn Hicks |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750811220 PECOS PAC ID: 7911278056 Enrollment ID: I20170808000489 |
| Provider Name | Mark E Degarmo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083706642 PECOS PAC ID: 9931114667 Enrollment ID: I20180111002644 |
| Provider Name | Sara Baggett Bryan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043868573 PECOS PAC ID: 0749512317 Enrollment ID: I20191031000625 |
| Provider Name | David George Ravnikar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801921598 PECOS PAC ID: 1658795265 Enrollment ID: I20200715002799 |
| Provider Name | Jonathan Mckey Holleman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841826575 PECOS PAC ID: 4981028560 Enrollment ID: I20200716001277 |
| Provider Name | Beth Louise Scott |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487689774 PECOS PAC ID: 3375582828 Enrollment ID: I20201027001377 |
| Mailing Address | Practice Location Address |
|---|---|
| Island P.t.,llc 4600 Goer Dr Ste 205, North Charleston, SC 29406-6536 Ph: (843) 744-5527 | Island P.t.,llc 4600 Goer Dr Ste 205, North Charleston, SC 29406-6536 Ph: (843) 744-5527 |
Kimberly Waters, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4390 Belle Oaks Dr, Suite 120, North Charleston, SC 29405 Phone: 866-571-2700 | |
Sara Desmarais, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2760 Tricom St, North Charleston, SC 29406 Phone: 843-300-8585 | |
Dr. Sarah Carter, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9330 Medical Plaza Dr, North Charleston, SC 29406 Phone: 843-797-7000 | |
Jared Lethco, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2695 Elms Plantation Blvd, Ste. C, North Charleston, SC 29406 Phone: 843-974-4097 Fax: 843-974-4125 | |
Nathen Alex Andrews, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8950 University Blvd Ste 200a, North Charleston, SC 29406 Phone: 843-414-1140 Fax: 843-553-2946 | |
Mrs. Leslie Brewer Burton, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2375 Baker Hospital Blvd, North Charleston, SC 29405 Phone: 843-744-2750 | |
Ms. Darcy M Jones, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1010 Bakers Landing Dr, North Charleston, SC 29418 Phone: 843-814-0680 Fax: 843-760-0906 |