PROACTIVE THERAPY OF SOUTH CAROLINA INC


Address: 2114 Highway 41 Ste 104, Mount Pleasant, SC 29466-6204
Phone: 7179721100

PROACTIVE THERAPY OF SOUTH CAROLINA INC (NPI# 1164057048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164057048
Entity Type Organization
Organization Name PROACTIVE THERAPY OF SOUTH CAROLINA INC
Practice Address 2114 Highway 41 Ste 104
Mount Pleasant
SC 29466-6204
Mailing Address 4714 Gettysburg Rd
Mechanicsburg
PA 17055-4325
Practice Telephone 7179721100
Mailing Telephone 7179754556
Enumeration Date 2020-03-11
Last Update Date 2020-03-11
Authorized Official Name MICHAEL TARVIN (VICE PRESIDENT)
Authorized Official Telephone 7179721100
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0400X Clinic/Center
Specialization: Rehabilitation
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Select Physical Therapy Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1336149848 Proactive Therapy of South Carolina Inc Clinic/Center 7 S Alliance Dr, Goose Creek, SC 29445-7172 2005-07-26

Office Location

Street Address 2114 HIGHWAY 41 STE 104
City MOUNT PLEASANT
State SC
Zip Code 29466-6204

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720689276 Sweetgrass Pharmacy Carolina Park, LLC Pharmacy 3485 Park Avenue Blvd, Mount Pleasant, SC 29466 2020-11-02
1942836754 Southern Grace Pain & Regenerative Medicine Clinic/Center 3520 Park Avenue Blvd., Suite 105, Mount Pleasant, SC 29466 2020-03-13
1174175038 South Carolina Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 225 Faison Rd, Mount Pleasant, SC 29466 2019-07-11
1780246553 Stacy Nicole Sherbutt Dental Hygienist Naval Weapons Statiom, 316 Red Bank Rd, Goose Creek, SC 29466 2019-07-02
1144780909 Chantal Pilar Debreceny Nurse Practitioner 1167 Basketweave Drive, #204, Mount Pleasant, SC 29466 2019-03-20
1609364835 Costco Wholesale Corporation Eyewear Supplier (Equipment, not the service) 3525 Park Ave Blvd., Mount Pleasant, SC 29466 2018-04-24
1528561453 Sea Island Medical Care Clinic/Center 2114 Highway 41, Suite 105, Mount Pleasant, SC 29466 2018-03-16
1992217707 Kristina Estelle Johnson Family Medicine 2662, Lohr Dr, Mount Pleasant, SC 29466 2017-11-02
1801324181 Collin T Weyer Physical Therapist 3301 Stockdale Street, Suite B, Mt. Pleasant, SC 29466 2017-05-31
1023467479 Mariesa Eikevik Physical Therapist 3559 Franklin Tower Dr, Mount Pleasant, SC 29466 2016-06-07
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Taxonomy Information

Taxonomy Code 261QR0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316421571 Cora South Carolina LLC Clinic/Center 1907 N Highway 17 Ste 102, Mount Pleasant, SC 29464-9604 2018-09-24
1093757411 Keystone Rehabilitation Systems Inc Clinic/Center 1 Braddock Avenue, Ste B & C, Huntingdon Place, Mount Pleasant, PA 15666-1458 2006-06-11
1275657884 Central Rehabilitation Services, Inc. Clinic/Center 201 S University Ave, Mount Pleasant, MI 48858-2527 2007-03-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1073157673 Physiotherapy Associates, Inc. Clinic/Center 334 E Martintown Rd Unit 3, North Augusta, SC 29841-4261 2019-11-06
1265073241 Select Physical Therapy Holdings, Inc. Clinic/Center 5232 Sunset Blvd Ste B, Lexington, SC 29072-9347 2019-10-01
1366008955 Cora South Carolina LLC Clinic/Center 515 Carnes Crossing Blvd Ste B, Summerville, SC 29486-0412 2019-05-20
1013573849 Ace Physio & Wellness LLC Clinic/Center 3031 Marlin Rd, Johns Island, SC 29455-3904 2019-05-16
1750946067 First Physical Therapy, LLC Clinic/Center 100 Dreher Rd., Suite 100, West Columbia, SC 29169 2019-05-02
1215492129 Cora South Carolina LLC Clinic/Center 2724 W Palmetto St Ste 2, Florence, SC 29501-4909 2019-02-05
1881177855 Cora South Carolina LLC Clinic/Center 5625 Rivers Ave, North Charleston, SC 29406-6022 2018-09-14
1649751173 Halcyon Rehabilitation, LLC Clinic/Center 2 Griffith Rd, Greenville, SC 29607-3503 2018-08-23
1659871986 Cora South Carolina LLC Clinic/Center 474 Bypass 72 Nw Ste A, Greenwood, SC 29649-1404 2018-02-13
1639686504 First Physical Therapy, LLC Clinic/Center 5208 Calhoun Memorial Hwy Ste D, Easley, SC 29640-3864 2018-01-02
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Competitor

Search similar providers

City MOUNT PLEASANT
Zip Code 29466

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Dataset Information

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.

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