Roots Pediatric Physical Therapy, Llc is a
Physical Therapist based in John's Island, South Carolina. Roots Pediatric Physical Therapy, Llc is licensed to practice in * (Not Available) (license number ) and their current practice location is
3033 Vincent Astor Drive, John's Island, South Carolina. It can be reached at their office (for appointments etc.) via phone at
(336) 288-6330.
NPI number for Roots Pediatric Physical Therapy, Llc is 1679307748 and their current mailing address is 3033 Vincent Astor Drive, John's Island, South Carolina. Roots Pediatric Physical Therapy, Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1679307748.
Healthcare Provider's Profile
Full Name | Roots Pediatric Physical Therapy, Llc |
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Type | Facility |
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Speciality | Physical Therapist |
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Location | 3033 Vincent Astor Drive, John's Island, South Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1679307748
- Provider Enumeration Date: 08/29/2024
- Last Update Date: 08/29/2024
Medical Identifiers
Medical identifiers for Roots Pediatric Physical Therapy, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679307748 | NPI | - | NPPES |
TH5083 | Medicaid | SC | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Roots Pediatric Physical Therapy, Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Roots Pediatric Physical Therapy, Llc 3033 Vincent Astor Drive, John's Island, SC 29455-8279 Ph: (336) 288-6330 | Roots Pediatric Physical Therapy, Llc 3033 Vincent Astor Drive, John's Island, SC 29455-8279 Ph: (336) 288-6330 |
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