OKATIE PHYSICAL THERAPY AND SPORTS MEDICINE (NPI# 1356995211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356995211 |
| Entity Type | Organization |
| Organization Name | OKATIE PHYSICAL THERAPY AND SPORTS MEDICINE |
| Practice Address |
149 Riverwalk Blvd Ste 3 Ridgeland SC 29936-8191 |
| Mailing Address |
15 Moss Creek Vlg Hilton Head SC 29926-1105 |
| Practice Telephone | 8436452668 |
| Mailing Telephone | 8436815077 |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2019-07-30 |
| Authorized Official Name | J. ROBERT GAVIN (OWNER) |
| Authorized Official Telephone | 8436452668 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Street Address |
149 RIVERWALK BLVD STE 3 |
| City | RIDGELAND |
| State | SC |
| Zip Code | 29936-8191 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346662558 | Korinne Dodd | Physical Therapist | 149 Riverwalk Blvd Ste 3, Ridgeland, SC 29936-8191 | 2014-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699316075 | Ghc-hilton Head, LLC | Hospice Care, Community Based | 65 Schinger Avenue, Suite 103, Ridgeland, SC 29936 | 2019-10-07 |
| 1568884385 | Kristen Reeves | Occupational Therapist | 10616 South Jacob Smart Boulevard, Ridgeland, SC 29936 | 2014-01-14 |
| 1942547138 | Jennifer Loadholt Moore | Social Worker | 204 North Railroad Avenue, Ridgeland, SC 29936 | 2013-01-09 |
| 1568719649 | Jennifer Lynn Coleman | Counselor | 203 N. Railroad Ave., Ridgeland, SC 29936 | 2012-08-08 |
| 1184945925 | Niles Edemeka Carter | Obstetrics & Gynecology | 1320 S. Ribaut Rd, Port Royal, SC 29936 | 2010-06-16 |
| 1831328459 | Jamie Singleton | Pediatrics | 1320 S. Ribaut Rd., Beaufort, SC 29936 | 2009-07-02 |
| 1487801668 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 721 Okatie Hwy 170, Ridgeland, SC 29936 | 2008-08-19 |
| 1295912004 | Ridgeland Dialysis LLC | Clinic/Center | 112 Weathersbee St, Ridgeland, SC 29936 | 2008-01-23 |
| 1518143221 | Ridgeland Eye Associates LLC | Ophthalmology | 10668 South Jacob Smart Boulevard, Ridgeland, SC 29936 | 2008-01-11 |
| 1053594713 | Caring Hands Health Equipment & Supplies, Inc. | Durable Medical Equipment & Medical Supplies | 107d East Main Street, Ridgeland, SC 29936 | 2007-12-17 |
| Find all providers in zip 29936 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821410150 | Home Aide Therapy Services LLC | Clinic/Center | 149 Riverwalk Blvd Ste 6, Ridgeland, SC 29936-8191 | 2014-01-06 |
| 1184768376 | Genesis Pt and Rehab Services | Clinic/Center | 227 Hwy 51, Ridgeland, MS 39157-4425 | 2007-02-19 |
| 1871689851 | Ridgeland Sports Medicine & Rehab, Inc | Clinic/Center | 665 S Pear Orchard Rd, Suite 114, Ridgeland, MS 39157-4861 | 2006-10-05 |
| 1871143024 | Mobility Rehab LLC - Chateau Ridgeland | Clinic/Center | 745 S Pear Orchard Rd Apt 335, Ridgeland, MS 39157-5143 | 2019-09-18 |
| 1891140711 | Agilitas Usa, Inc. | Clinic/Center | 1000 Highland Colony Pkwy Ste 2002, Ridgeland, MS 39157-2075 | 2016-04-28 |
| 1952793309 | Head To Toe Physical Therapy | Clinic/Center | 665 S Pear Orchard Rd Ste 114, Ridgeland, MS 39157-4859 | 2015-02-23 |
| 1417280009 | Mid South Rehab Outpatient Clinic LLC | Clinic/Center | 711 Avignon Dr, Ridgeland, MS 39157-5120 | 2009-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104426907 | Firefly Therapy Clinic LLC | Clinic/Center | 2103 Hartness Dr, Greenville, SC 29615-5497 | 2020-10-29 |
| 1457961963 | Midlands Physical Therapy and Wellness LLC. | Clinic/Center | 115 Pettus Ln, Newberry, SC 29108-7719 | 2020-08-10 |
| 1568071017 | Pt Dispatch, LLC | Clinic/Center | 81 Pointe Cir Ste D-18, Greenville, SC 29615-3505 | 2020-07-29 |
| 1356974067 | Mastering Milestones, LLC | Clinic/Center | 1564 Red Tide Rd, Mount Pleasant, SC 29466-9406 | 2020-02-20 |
| 1306480702 | Palmetto Primary Care Physicians, LLC | Clinic/Center | 119 Springhall Dr Ste A2, Goose Creek, SC 29445-5368 | 2019-10-30 |
| 1477197945 | Greene Physical Therapy LLC | Clinic/Center | 824 Farnham Rd, Charleston, SC 29412-4806 | 2019-10-29 |
| 1962045500 | Bright Physical Therapy, LLC | Clinic/Center | 4010 E North St Ste 4, Greenville, SC 29615-6208 | 2019-10-28 |
| 1841848991 | Holistic Therapeutic Services of Sc LLC | Clinic/Center | 3810 Masters Cir, Florence, SC 29501-8514 | 2019-09-03 |
| 1447806518 | Turner Sports Performance, LLC | Clinic/Center | 407 Long Forest Cir, Anderson, SC 29625-1103 | 2019-08-14 |
| 1700348711 | Five Star Rehabilitation and Wellness Services, LLC. | Clinic/Center | 9547 N Kings Hwy, Myrtle Beach, SC 29572 | 2019-04-01 |
| Find all providers with the same taxonomy | ||||
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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.