CAROLINA WOMEN'S PHYSICAL THERAPY AND WELLNESS (NPI# 1184974743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184974743 |
| Entity Type | Organization |
| Organization Name | CAROLINA WOMEN'S PHYSICAL THERAPY AND WELLNESS |
| Practice Address |
4015 Forest Dr Ste 101 Columbia SC 29204-4350 |
| Mailing Address |
304 Faversham Cres Columbia SC 29229-7003 |
| Practice Telephone | 8033868610 |
| Mailing Telephone | 8033868610 |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2012-12-14 |
| Authorized Official Name | DAWN CHAMBERS-LYNCH (OWNER) |
| Authorized Official Telephone | 8033868610 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
5018 | SC | Ambulatory Health Care Facilities |
| Street Address |
4015 FOREST DR STE 101 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29204-4350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992215149 | Ricardo Colon II | Registered Nurse | 3000 Hampton Street, Columbia, SC 29204 | 2017-10-02 |
| 1780113522 | Carla Star Noe | Registered Nurse | Sc Department of Health and Environmental Control, 2100 Bull Street, Collumbia, SC 29204 | 2017-06-06 |
| 1124568514 | Kristy L Thompson | Nurse Practitioner | 1655 Bernardin Ave Ste 240, Columbia, SC 29204 | 2017-03-03 |
| 1982052031 | Harold Eugene Cook Iv | Podiatrist | 1730 St Julian Place, Columbia, SC 29204 | 2016-05-31 |
| 1851748974 | Shaquita Banks | Counselor | 1810 Allen Benedict Ct, A1, Columbia, SC 29204 | 2016-05-18 |
| 1265804835 | Premier Care, LLC | Case Management | 2712 Middleburg Drive, Suite 206, Columbia, SC 29204 | 2015-10-22 |
| 1023492287 | Shamiquia N. Mcpherson | Counselor | 1627 Auburn St., Columbia, SC 29204 | 2015-07-16 |
| 1285028449 | The Columbia Free Medical Clinic, Inc. | Clinic/Center | 1875 Harden Street, Columbia, SC 29204 | 2015-03-26 |
| 1629473459 | Leslie Wilson | Counselor | 2323 Lady Street, Columbia, SC 29204 | 2014-10-22 |
| 1053728683 | Candyce Sutton | Social Worker | 1135 Carter Street, Columbia, SC 29204 | 2014-07-15 |
| Find all providers in zip 29204 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821307 | My Concierge Pt LLC | Clinic/Center | 9141 Gracious End Ct Apt 104, Columbia, MD 21046-2095 | 2020-11-04 |
| 1083224877 | Silver Lining Physical Therapy & Wellness | Clinic/Center | 7050 Oakland Mills Rd Ste 130, Columbia, MD 21046-2269 | 2020-08-06 |
| 1114543089 | True Sports Physical Therapy, LLC | Clinic/Center | 9030 State Route 108 Ste B, Columbia, MD 21045-1990 | 2020-06-17 |
| 1619519683 | Agilitas Usa, Inc | Clinic/Center | 627 S. James Campbell Blvd., Suite B, Columbia, TN 38401 | 2019-10-11 |
| 1366007338 | Red Canyon, LLC | Clinic/Center | 5500 Knoll North Dr Ste 230, Columbia, MD 21045-2362 | 2019-05-06 |
| 1861964728 | Forever Fit Physical Therapy & Wellness LLC | Clinic/Center | 9881 Broken Land Pkwy Ste 103, Columbia, MD 21046-3013 | 2018-12-17 |
| 1780181305 | Glackin Physiotherapy, LLC | Clinic/Center | 9159 Red Branch Rd Ste F, Columbia, MD 21045-2041 | 2018-04-10 |
| 1063938108 | Limitless Physiotherapy, LLC | Clinic/Center | 9192 Red Branch Rd Ste 120, Columbia, MD 21045-2053 | 2017-08-21 |
| 1659802791 | Kelsey Marie Okruch | Clinic/Center | 6607 Chrissula Ln, Columbia, MO 65203-6613 | 2017-03-21 |
| 1245693399 | Women's Health Pt of Central Md LLC | Clinic/Center | 7130 Minstrel Way Ste Ll110, Columbia, MD 21045-5261 | 2016-04-05 |
| Find all providers in COLUMBIA | ||||
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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.