IMAGINE PHYSICAL THERAPY CANE BAY (NPI# 1164816245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164816245 |
| Entity Type | Organization |
| Organization Name | IMAGINE PHYSICAL THERAPY CANE BAY |
| Practice Address |
1600 State Rd Summerville SC 29486-2842 |
| Mailing Address |
5111 N Rhett Ave North Charleston SC 29405-4219 |
| Practice Telephone | 8438049479 |
| Practice Fax Number | 8438047902 |
| Mailing Telephone | 8438049479 |
| Mailing Fax Number | 8438049020 |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2016-02-16 |
| Authorized Official Name | JOHN A MART (OWNER/PHYSICAL THERAPIST) |
| Authorized Official Telephone | 8438049479 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
1600 STATE RD |
| City | SUMMERVILLE |
| State | SC |
| Zip Code | 29486-2842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952921454 | Cooper River Pediatric Therapy LLC | Speech-Language Pathologist | 119 Callibluff Dr, Summerville, SC 29486 | 2020-04-24 |
| 1750928164 | Tidewater Eyecare, LLC | Optometrist | 301 Front St., Summerville, SC 29486 | 2019-12-04 |
| 1366086621 | Tgd-summerville LLC | Dentist | 604-a Nexton Square Dr, Summerville, SC 29486 | 2019-10-30 |
| 1336783604 | Tdsp-summerville LLC | Dentist | 604-b Nexton Square Dr, Summerville, SC 29486 | 2019-10-30 |
| 1699256081 | Denise Michelle Richardson | Speech-Language Pathologist | 201 School House Ln, Summerville, SC 29486 | 2018-08-24 |
| 1497243588 | Charleston Ent Associates, LLC | Non-Pharmacy Dispensing Site | 2205 2nd Avenue, Summerville, SC 29486 | 2018-04-25 |
| 1043707557 | Seaside Family Medicine, LLC | Nurse Practitioner | 1341 College Park Rd # A, Summerville, SC 29486 | 2018-04-19 |
| 1023511144 | Grace Physical Therapy and Sports Rehab At Nexton | Clinic/Center | 5500 Front St, Suite 201, Summerville, SC 29486 | 2018-03-15 |
| 1295253086 | Dillon Robert Gregory | Specialist/Technologist | 313 Springdale Ct., Summerville, SC 29486 | 2017-09-01 |
| 1013456987 | Sfd Kids LLC | Dentist | 108 Parish Farms Drive, Summerville, SC 29486 | 2017-02-13 |
| Find all providers in zip 29486 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003356213 | Jillian Jenay Mays | Specialist | 75 Old Trolley Rd Unit 8, Summerville, SC 29485-4900 | 2017-03-07 |
| 1962658740 | Equilibrium Endocrinology, Pa | Specialist | 622 Trolley Rd, Suite 102, Summerville, SC 29485-5674 | 2008-08-13 |
| 1881859742 | E Yvonne Ouellette | Specialist | 121 Lipman St, Summerville, SC 29483-3673 | 2008-07-21 |
| 1083696413 | Articularis Healthcare Group Inc. | Specialist | 2001 2nd Ave Ste 201, Summerville, SC 29486 | 2005-11-21 |
| 1457333114 | Darlene Carolyn Bernard | Specialist | 75 Springview Lane, Summerville, SC 29485 | 2005-11-17 |
| 1235135112 | William Roger Lomax | Specialist | 208 E 2nd North St, Summerville, SC 29483-6858 | 2005-06-24 |
| 1063417228 | Gerald C Warren | Specialist | 85 Springview Ln Unit A, Summerville, SC 29485-8119 | 2005-06-15 |
| 1366779779 | Alpha Medical | Specialist | 210 W 6th North St, Summerville, SC 29483-6617 | 2009-11-05 |
| 1164620779 | Lomax and Jordan Ent | Specialist | 208 E 2nd North St, Summerville, SC 29483-6858 | 2007-07-05 |
| 1902967912 | Summerville Surgical Associates, Pa | Specialist | 87 Springview Ln, Suite A, Summerville, SC 29485-8154 | 2006-12-13 |
| Find all providers in SUMMERVILLE | ||||
| City | SUMMERVILLE |
| Zip Code | 29486 |
Please comment or provide details below to improve the information on IMAGINE PHYSICAL THERAPY CANE BAY.
| 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.