| Professional Rehabilitation Services | |
|
1301 48th Ave N, Suite D, Myrtle Beach, SC 29577-5427 | |
| (843) 839-1300 | |
| (843) 839-1320 |
| Full Name | Professional Rehabilitation Services |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1301 48th Ave N, Myrtle Beach, 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 |
|---|---|---|---|
| 1275814246 | NPI | - | NPPES |
| GP5786 | Medicaid | SC | |
| DS6012 | Other | SC | RAILROAD MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 3690 (South Carolina) | Primary |
| Provider Name | Brian P Kinmartin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730137506 PECOS PAC ID: 6901894138 Enrollment ID: I20040507000046 |
| Provider Name | Richard A Owens |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750331005 PECOS PAC ID: 9931108099 Enrollment ID: I20061219000142 |
| Provider Name | Richard A Defalco |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578693131 PECOS PAC ID: 0345334876 Enrollment ID: I20111025000000 |
| Provider Name | Kristen Marie Moeller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558617043 PECOS PAC ID: 3779718424 Enrollment ID: I20140501002024 |
| Provider Name | Jill F Phelan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760891881 PECOS PAC ID: 4385865161 Enrollment ID: I20141020001979 |
| Provider Name | Andrew S Roberts |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104155829 PECOS PAC ID: 7416086921 Enrollment ID: I20150319002753 |
| Provider Name | Lisa M Obrien |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558734517 PECOS PAC ID: 6305143975 Enrollment ID: I20160324002265 |
| Provider Name | Karl Ehlers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982052981 PECOS PAC ID: 3779868765 Enrollment ID: I20170313001790 |
| Provider Name | Zachary Daniels |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144700444 PECOS PAC ID: 1658624549 Enrollment ID: I20181023001088 |
| Provider Name | Samantha A Crisafulli |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528548948 PECOS PAC ID: 6901150150 Enrollment ID: I20181107001238 |
| Provider Name | Brandon M Stanley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558820472 PECOS PAC ID: 4880921006 Enrollment ID: I20190812001224 |
| Provider Name | Daniel J Staples |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033771357 PECOS PAC ID: 2961733282 Enrollment ID: I20191016003754 |
| Provider Name | Taylor M Dawley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164142386 PECOS PAC ID: 9638545387 Enrollment ID: I20221020000969 |
| Provider Name | Kayla Carlisle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629782594 PECOS PAC ID: 7315310943 Enrollment ID: I20230302000675 |
| Provider Name | Mackenzie G Thacker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235994161 PECOS PAC ID: 2860832615 Enrollment ID: I20240426003402 |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Rehabilitation Services Po Box 2397, Pawleys Island, SC 29585-2397 Ph: (843) 235-0200 | Professional Rehabilitation Services 1301 48th Ave N, Suite D, Myrtle Beach, SC 29577-5427 Ph: (843) 839-1300 |
Jason M Anders, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 201 Brightwater Dr, Myrtle Beach, SC 29579 Phone: 304-236-4131 Fax: 304-236-4131 | |
Gavin Stepansky, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4871 Socastee Blvd Unit E, Myrtle Beach, SC 29588 Phone: 843-293-5610 | |
Karyn Longo Congdon, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3515 Caduceus Dr, Ste A, Myrtle Beach, SC 29588 Phone: 843-293-7085 | |
Professional Rehabiliation Services Physical Therapist Medicare: Medicare Enrolled Practice Location: 2140 Oakheart Rd, Myrtle Beach, SC 29579 Phone: 843-282-0440 Fax: 843-353-2060 | |
Mr. Thomas A. Palya, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4012 Postal Way, Suite C, Myrtle Beach, SC 29579 Phone: 843-903-4940 | |
Dr. Tamala Rose Marcin, PT,DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 716 Morning Star Ct, Myrtle Beach, SC 29579 Phone: 317-430-6283 Fax: 843-236-9544 | |
Benchmark Healthcare Service Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7955 N Kings Hwy Ste 330, Myrtle Beach, SC 29572 Phone: 843-945-1815 Fax: 843-945-2343 |