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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers |
Other Name | Type Code |
---|---|
ATI Physical Therapy of Greenville | Doing Business As Name - Organization |
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 |
Street Address |
210 VILLAGE CENTER BLVD STE 100 |
City | MYRTLE BEACH |
State | SC |
Zip Code | 29579-6706 |
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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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 |
Find all providers in zip 29579 |
Taxonomy Code | 332BC3200X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
Specialization | Customized Equipment |
Definition to come... |
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 |
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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 |
Find all providers with the same taxonomy |
City | MYRTLE BEACH |
Zip Code | 29579 |
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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.