GREENVILLE PROAXIS THERAPY LLC


Address: 210 Village Center Blvd, Ste 100, Myrtle Beach, SC 29579-6706
Phone: 8432495616

GREENVILLE PROAXIS THERAPY LLC (NPI# 1184160400) 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) 1184160400
Entity Type Organization
Organization Name GREENVILLE PROAXIS THERAPY LLC
Other Organization Name ATI PHYSICAL THERAPY OF GREENVILLE
Practice Address 210 Village Center Blvd
Ste 100
Myrtle Beach
SC 29579-6706
Mailing Address 790 Remington Blvd
Bolingbrook
IL 60440-4909
Practice Telephone 8432495616
Practice Fax Number 8432491843
Mailing Telephone 6302962223
Mailing Fax Number 6307599510
Enumeration Date 2017-01-10
Last Update Date 2017-01-10
Authorized Official Name LYNN S MCGIVERN (CHIEF COMPLIANCE OFFICER)
Authorized Official Telephone 6302962222
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332BC3200X Durable Medical Equipment & Medical Supplies
Specialization: Customized Equipment
Suppliers

Other Provider/Organization Names

Other Name Type Code
ATI Physical Therapy of Greenville Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1548774409 Greenville Proaxis Therapy LLC Durable Medical Equipment & Medical Supplies 333 S Pine St, Spartanburg, SC 29302-2622 2017-11-29
1174037030 Greenville Proaxis Therapy LLC Durable Medical Equipment & Medical Supplies 1305 S Suber Rd, Greer, SC 29650-0944 2017-11-29
1528572484 Greenville Proaxis Therapy LLC Durable Medical Equipment & Medical Supplies 838 Powdersville Rd, Easley, SC 29642-3703 2017-11-29
1932645264 Greenville Proaxis Therapy LLC Durable Medical Equipment & Medical Supplies 10626 Clemson Blvd, Seneca, SC 29678-4526 2017-01-10
1265978589 Greenville Proaxis Therapy LLC Durable Medical Equipment & Medical Supplies 1520 E Greenville St, Ste. G, Anderson, SC 29621-2056 2017-01-10
1538552732 Greenville Proaxis Therapy LLC Durable Medical Equipment & Medical Supplies 2 Doctors Dr, Greenville, SC 29605-4265 2015-03-12

Office Location

Street Address 210 VILLAGE CENTER BLVD
STE 100
City MYRTLE BEACH
State SC
Zip Code 29579-6706

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336105956 Joe N Jarrett Jr. Orthopaedic Surgery 210 Village Center Blvd, Suite 200, Myrtle Beach, SC 29579-6683 2006-04-22
1174972178 Lauren Toth Physical Therapist 210 Village Center Blvd, Ste 100, Myrtle Beach, SC 29579-6706 2016-06-09
1659736411 Denise Lovorn Physical Therapist 210 Village Center Blvd, Myrtle Beach, SC 29579-6706 2015-12-22
1235530569 Janelle Morgan Physician Assistant 210 Village Center Blvd, Suite 200, Myrtle Beach, SC 29579-6706 2014-09-05
1427499540 Sawgrass Pediatric Dentistry, LLC Dentist 210 Village Center Blvd, Suite 130, Myrtle Beach, SC 29579-6706 2013-07-17
1285909010 Ryan Richardson Smith Dentist 210 Village Center Blvd, Suite 130, Myrtle Beach, SC 29579-6706 2012-03-13
1285946269 Justin Gerard Brothers Orthopaedic Surgery 210 Village Center Blvd, Suite 200, Myrtle Beach, SC 29579-6706 2010-07-07
1851527261 Clemson Sports Medicine and Rehabilitation, Inc. Durable Medical Equipment & Medical Supplies 210 Village Center Blvd, Ste 100, Myrtle Beach, SC 29579-6706 2009-06-01
1972745032 Clemson Sports Medicine and Rehabilitation Rehabilitation Unit 210 Village Center Blvd, Suite 100, Myrtle Beach, SC 29579-6706 2009-04-03
1497955215 Ericka E. Carter Physician Assistant 210 Village Center Blvd, Suite 200, Myrtle Beach, SC 29579-6706 2007-07-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598323198 P & E Company Counselor 4105 Carolina Commercial Dr. Unit #2, Myrtle Beach, SC 29579 2019-05-30
1528624632 Matthew Meehan Nurse Practitioner 4016 River Oaks Dr # 6511, Myrtle Beach, SC 29579 2019-05-14
1427518265 Brian Donovan Doherty Student in an Organized Health Care Education/Training Program Grand Strand Medical Center 809 82nd Parkway, Gme Office, Myrtle Beach, SC 29579 2019-03-20
1508347931 South Carolina Cvs Pharmacy LLC Pharmacy 578 International Dr, Myrtle Beach, SC 29579 2018-08-23
1497256176 Orthosc LLC Orthopaedic Surgery 185 Fresh Dr Ste B, Myrtle Beach, SC 29579 2018-02-27
1740708981 Dental Professional of South Carolina, P.C. Dentist 568 International Dr, Myrtle Beach, SC 29579 2017-09-08
1093232480 Johnathan T Steppe Dentist 568 International Drive, Myrtle Beach, SC 29579 2017-08-25
1346638483 Little River Medical Center, Inc Clinic/Center 4220 Carolina Exchange Blvd, Myrtle Beach, SC 29579 2014-12-23
1154726818 Mina Gaid Pharmacist 1303 38th Avenue North, Myrtle Beach, SC 29579 2014-10-23
1528471364 Paola Goyeneche Counselor 5015 Carolina Forest Blvd, Myrtle Beach, SC 29579 2014-06-10
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Taxonomy Information

Taxonomy Code 332BC3200X
Grouping Suppliers
Classification Durable Medical Equipment & Medical Supplies
Specialization Customized Equipment

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194936690 Coastal Brace and Limb Center LLC Durable Medical Equipment & Medical Supplies 1508 Hwy 501, Myrtle Beach, SC 29577 2007-05-25
1962480046 Myrtle Beach Brace & Limb Center, LLC Durable Medical Equipment & Medical Supplies 1508 Hwy 501 West, Myrtle Beach, SC 29577-9746 2006-01-09
1124026547 Southeastern Health Plus, Inc. Durable Medical Equipment & Medical Supplies 1301 48th Ave N Ste C, Myrtle Beach, SC 29577-5427 2005-07-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1619577665 Mobilityworks, LLC Durable Medical Equipment & Medical Supplies 11816 Frontage Rd., Murrells Inlet, SC 29576 2020-10-29
1588217830 Bennett Wholesale Distributors, LLC Durable Medical Equipment & Medical Supplies 300 Long Pointe Ln Ste 220-o, Columbia, SC 29229-7543 2019-07-16
1255840310 Lovely Doves Dme Durable Medical Equipment & Medical Supplies 1509 N Longstreet St, Kingstree, SC 29556-2416 2017-09-21
1710408836 Freedom Mobility Center, Inc. Durable Medical Equipment & Medical Supplies 224 Oneil Ct Ste 23, Columbia, SC 29223-7649 2017-06-28
1780135269 Western Carolina O & P Durable Medical Equipment & Medical Supplies 366 S Pine St, Spartanburg, SC 29302-2624 2016-10-19
1255882908 South Carolina Dental Sleep Center, LLC Durable Medical Equipment & Medical Supplies 1405 Brushy Creek Rd Ste B, Taylors, SC 29687-4008 2016-10-18
1619424264 Dr. Timothy Gross' Dental Excellence LLC Durable Medical Equipment & Medical Supplies 15 Bow Cir, Suite 104, Hilton Head Island, SC 29928-3211 2016-09-01
1871953620 Pediatric Mobility Innovations, Inc. Durable Medical Equipment & Medical Supplies 4458 Augusta Rd, Ste 1b, Lexington, SC 29073-7155 2016-03-07
1295113892 United Seating and Mobility LLC Durable Medical Equipment & Medical Supplies 16b Brozzini Ct, Greenville, SC 29615-5339 2015-05-14
1417342791 Function Abilities, LLC Durable Medical Equipment & Medical Supplies 211 Eddings Point Rd, Saint Helena Island, SC 29920-3911 2015-04-02
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Competitor

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City MYRTLE BEACH
Zip Code 29579

Improve Information

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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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