CHRISTINE DENISE CLYBURN (NPI# 1194244681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194244681 |
| Entity Type | Individual |
| Full Name | CHRISTINE DENISE CLYBURN |
| Other Name | CHRISTINE DENISE HOLLINGWORTH |
| Credential | DPT |
| Practice Address |
1672 N Main St Ste 11 Summerville SC 29486-7811 |
| Mailing Address |
800 Crescent Centre Dr Ste 300 Franklin TN 37067-7285 |
| Practice Telephone | 8432891456 |
| Practice Fax Number | 8437376004 |
| Mailing Telephone | 6153731350 |
| Mailing Fax Number | 6152219054 |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2020-01-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 7589 | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1672 N MAIN ST STE 11 |
| City | SUMMERVILLE |
| State | SC |
| Zip Code | 29486-7811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326440462 | Nathan Hunt | Physical Therapist | 1672 N Main St Ste 11, Summerville, SC 29486-7811 | 2014-09-19 |
| 1457877227 | Agilitas Usa, Inc | Clinic/Center | 1672 N Main St Ste 11, Summerville, SC 29486-7811 | 2017-08-14 |
| 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 | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346859881 | Wave Physical Therapy LLC | Physical Therapist | 211 Oakwood Dr, Summerville, SC 29483-9701 | 2020-07-30 |
| 1710596671 | Ryan Fites | Physical Therapist | 5015 W Liberty Meadows Dr, Summerville, SC 29485-7940 | 2020-07-27 |
| 1922622604 | Rachel Elaine Digiacomo | Physical Therapist | 10160 Dorchester Road, Summerville, SC 29485 | 2020-05-29 |
| 1255964656 | Brandon Stone | Physical Therapist | 330 E 5th North St # De, Summerville, SC 29483-0702 | 2020-02-14 |
| 1922641315 | Matthew Hassig | Physical Therapist | 330 E 5th North St # D&e, Summerville, SC 29483-0702 | 2019-10-18 |
| 1699333278 | Kelly Ann Humes | Physical Therapist | 1718 State Rd Ste 7, Summerville, SC 29486-2802 | 2019-05-30 |
| 1578073854 | Kristen Jennifer Simeone | Physical Therapist | 330 E. 5th North Street, #d&e, Summerville, SC 29483-0702 | 2017-10-02 |
| 1861901183 | Alexis Lacey Spearman | Physical Therapist | 10040 Dorchester Rd # 106&107, Summerville, SC 29485-8533 | 2017-09-29 |
| 1285159772 | Elizabeth Grace Klauss | Physical Therapist | 330 E 5th North St Ste D&e, Summerville, SC 29483-0702 | 2017-08-07 |
| 1245754274 | Robert T Branham Jr. | Physical Therapist | 522 N Magnolia St Ste A, Summerville, SC 29483-6877 | 2017-08-01 |
| Find all providers in SUMMERVILLE | ||||
| City | SUMMERVILLE |
| Zip Code | 29486 |
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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.