IMAGINE PHYSICAL THERAPY NORTH RHETT LLC (NPI# 1033518766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033518766 |
| Entity Type | Organization |
| Organization Name | IMAGINE PHYSICAL THERAPY NORTH RHETT LLC |
| Other Organization Name | IMAGINE PHYSICAL THERAPY |
| Practice Address |
5111 N Rhett Ave North Charleston SC 29405-4219 |
| Practice Telephone | 8433755448 |
| Practice Fax Number | 8436286624 |
| Mailing Telephone | 8433755448 |
| Mailing Fax Number | 8436286624 |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2015-01-13 |
| Authorized Official Name | JOHN ARTHUR MART (PHYSICAL THERAPIST) |
| Authorized Official Telephone | 8433755448 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
7041 | SC | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Imagine Physical Therapy | Doing Business As Name - Organization |
| Street Address |
5111 N RHETT AVE |
| City | NORTH CHARLESTON |
| State | SC |
| Zip Code | 29405-4219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205273075 | Davis Burr Bradley | Physical Therapist | 5111 N Rhett Ave, North Charleston, SC 29405-4219 | 2013-06-03 |
| 1619527827 | Travis Leighton Wood | Physical Therapist | 5111 N Rhett Ave, North Charleston, SC 29405-4219 | 2019-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720535 | Detyens Medical Center | Pharmacy | 1670 Drydock Avenue, Building 10, Suite A, North Charleston, SC 29405 | 2020-11-03 |
| 1013422674 | Caroline Rae | Speech-Language Pathologist | 3100 Carner Avenue, Charleston, SC 29405 | 2017-12-05 |
| 1245685171 | Ethel Jane Amerson | Registered Nurse | 3180 Thomasena Mcpherson Blvd, Nursing Module, Charleston County School Districe, North Charleston, SC 29405 | 2016-04-28 |
| 1750755468 | Diane Levesque | Registered Nurse | 4050 Bridgeview Drive, Suite 600, North Charleston, SC 29405 | 2015-11-18 |
| 1063813111 | Trident Medical Center, LLC | Clinic/Center | 5249 Emmett I. Davis Jr. Avenue, North Charleston, SC 29405 | 2014-09-09 |
| 1114344504 | Bonita Davies | Registered Nurse | 3180 Thomasina Mcpherson Boulevard, North Charleston, SC 29405 | 2014-03-24 |
| 1427493261 | Melissa Hancock D'arcy | Registered Nurse | 3750 Dorchester Road, N. Charleston, SC 29405 | 2013-05-07 |
| 1427308824 | Terri Timmerman | Pharmacist | 1506 Montague Ave, North Charleston, SC 29405 | 2012-09-12 |
| 1649414285 | Roper Saint Francis Physicians Network | Clinical Medical Laboratory | 4450 Leeds Place West, Suite A, North Charleston, SC 29405 | 2009-04-27 |
| 1891940649 | Earnestine Roberts | Registered Nurse | 3605 Meeting Street Rd., Ste.b1, North Charleston, SC 29405 | 2008-11-20 |
| Find all providers in zip 29405 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700354164 | Palmetto Primary Care Physicians | Clinic/Center | 2500 Elms Center Rd Ste B, North Charleston, SC 29406-9844 | 2018-11-05 |
| 1659725596 | Agilitas Usa, Inc | Clinic/Center | 2791 Tricom St Ste 102, North Charleston, SC 29406-8108 | 2016-04-18 |
| 1295117786 | Agilitas Usa, Inc | Clinic/Center | 3032 W Montague Ave Ste 101, North Charleston, SC 29418-7921 | 2015-06-22 |
| 1730355314 | Clemson Sports Medicine and Rehabilitation, Inc | Clinic/Center | 5401 Netherby Rd, Bldg 300 Suite 302, North Charleston, SC 29420-7363 | 2008-05-05 |
| 1609406727 | Occupational Health Centers of Southwest P.a. | Clinic/Center | 7519 Rivers Ave, North Charleston, SC 29406-4662 | 2020-01-16 |
| 1972166445 | Therapy Centers of South Carolina, P.a. | Clinic/Center | 4600 Goer Dr Ste 205, North Charleston, SC 29406-6536 | 2019-04-19 |
| 1730522491 | Grace Physical Therapy & Sports Rehab., LLC | Clinic/Center | 2695 Elms Plantation Blvd, Suite C, North Charleston, SC 29406-9165 | 2013-04-12 |
| 1720397607 | Atlas Phyiscal Therapy of North Charleston | Clinic/Center | 8720 Northpark Blvd, Suite D, North Charleston, SC 29406-9220 | 2010-09-27 |
| 1811218423 | Effingham Rehab Services, Inc. | Clinic/Center | 4600 Goer Dr, Ste 206, North Charleston, SC 29406-6500 | 2010-06-17 |
| 1851500110 | Fischer Health Services, PC | Clinic/Center | 7481 Northside Dr, Ste. C, North Charleston, SC 29420-4282 | 2007-05-22 |
| Find all providers in NORTH CHARLESTON | ||||
| City | NORTH CHARLESTON |
| Zip Code | 29405 |
Please comment or provide details below to improve the information on IMAGINE PHYSICAL THERAPY NORTH RHETT LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.