CORA SOUTH CAROLINA LLC (NPI# 1366850919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366850919 |
| Entity Type | Organization |
| Organization Name | CORA SOUTH CAROLINA LLC |
| Other Organization Name | INDIGO THERAPY SPECIALISTS - GEORGETOWN |
| Practice Address |
2199 North Frazer St. Georgetown SC 29440-6409 |
| Mailing Address |
1110 Shawnee Rd Lima OH 45805-3529 |
| Practice Telephone | 8435276835 |
| Practice Fax Number | 8435273665 |
| Mailing Telephone | 4192216720 |
| Mailing Fax Number | 4192220507 |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2016-09-07 |
| Authorized Official Name | MR. BRAD C ROUSH (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Telephone | 4192216712 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
SC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP7065 | 05 |
| Other Name | Type Code |
|---|---|
| Indigo Therapy Specialists - Georgetown | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366008955 | Cora South Carolina LLC | Clinic/Center | 515 Carnes Crossing Blvd Ste B, Summerville, SC 29486-0412 | 2019-05-20 |
| 1215492129 | Cora South Carolina LLC | Clinic/Center | 2724 W Palmetto St Ste 2, Florence, SC 29501-4909 | 2019-02-05 |
| 1316421571 | Cora South Carolina LLC | Clinic/Center | 1907 N Highway 17 Ste 102, Mount Pleasant, SC 29464-9604 | 2018-09-24 |
| 1881177855 | Cora South Carolina LLC | Clinic/Center | 5625 Rivers Ave, North Charleston, SC 29406-6022 | 2018-09-14 |
| 1164923355 | Cora South Carolina LLC | Clinic/Center | 876 Fording Island Rd Ste 2, Bluffton, SC 29910-8677 | 2018-02-23 |
| 1659871986 | Cora South Carolina LLC | Clinic/Center | 474 Bypass 72 Nw Ste A, Greenwood, SC 29649-1404 | 2018-02-13 |
| 1952767519 | Cora South Carolina LLC | Clinic/Center | 536 Highway 17 N, North Myrtle Beach, SC 29582-2904 | 2016-01-12 |
| 1831507235 | Cora South Carolina LLC | Clinic/Center | 4871 Socastee Blvd., Suite E, Myrtle Beach, SC 29588-9356 | 2014-07-29 |
| 1104380344 | Cora South Carolina LLC | Clinic/Center | 876 Fording Island Rd Ste 2, Bluffton, SC 29910-8677 | 2019-01-22 |
| 1396250049 | Cora South Carolina LLC | Clinic/Center | 1110 Shawnee Rd, Lima, OH 45805-3529 | 2017-12-04 |
| Street Address |
2199 NORTH FRAZER ST. |
| City | GEORGETOWN |
| State | SC |
| Zip Code | 29440-6409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003288788 | Bartou Wilson | Pharmacist | 513 Rosemont St, Georgetown, SC 29440 | 2015-10-21 |
| 1538557780 | Sc Pain and Spine Specialist | Pain Medicine | 230 S Fraser Street, Georgetown, SC 29440 | 2014-12-22 |
| 1326393745 | Rose Carpenzano | Social Worker | 525 Lafayette Circle, Waccamaw Center for Mental Health, Georgetown, SC 29440 | 2012-07-23 |
| 1942575451 | Surgical Specialists of Waccamaw, LLC | Surgery | 4367 Riverwood Drive, Suite 130, Murrells Inlet, SC 29440 | 2012-03-16 |
| 1619296654 | Lisa Marie Holmes | Durable Medical Equipment & Medical Supplies | 1263 N. Frazer St., Georgetown, SC 29440 | 2010-05-28 |
| 1104156892 | Georgetown Anesthesia Consultants, PC | Anesthesiology | 606 Blackriver Road, Georgetown, SC 29440 | 2010-01-04 |
| 1306018999 | Heather Denise Sharpe | Pharmacist | 810 Elizabeth Street, Georgetown, SC 29440 | 2008-03-24 |
| 1083882054 | Advanced Chiropractic Center | Chiropractor | 705 North Fraser Street, Advanced Chiropractic Center, Georgetown, SC 29440 | 2008-02-13 |
| 1295922284 | Georgetown Memorial Hospital | Clinic/Center | 2361 North Frasier Street, Georgetown, SC 29440 | 2007-10-03 |
| 1114110863 | Thomas Clifford Rowland Jr. | Obstetrics & Gynecology | 74 Swan Point Trail, Georgetown, SC 29440 | 2007-08-24 |
| Find all providers in zip 29440 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912569153 | Rehabilitation Consultants, Inc. | Clinic/Center | 2 Lee Ave Unit 103, Georgetown, DE 19947-2149 | 2019-07-08 |
| 1396218798 | Sn Kentuckiana Rehab, LLC | Clinic/Center | 1050 Copperfield Dr, Georgetown, IN 47122-9075 | 2019-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164057048 | Proactive Therapy of South Carolina Inc | Clinic/Center | 2114 Highway 41 Ste 104, Mount Pleasant, SC 29466-6204 | 2020-03-11 |
| 1073157673 | Physiotherapy Associates, Inc. | Clinic/Center | 334 E Martintown Rd Unit 3, North Augusta, SC 29841-4261 | 2019-11-06 |
| 1265073241 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 5232 Sunset Blvd Ste B, Lexington, SC 29072-9347 | 2019-10-01 |
| 1366008955 | Cora South Carolina LLC | Clinic/Center | 515 Carnes Crossing Blvd Ste B, Summerville, SC 29486-0412 | 2019-05-20 |
| 1013573849 | Ace Physio & Wellness LLC | Clinic/Center | 3031 Marlin Rd, Johns Island, SC 29455-3904 | 2019-05-16 |
| 1750946067 | First Physical Therapy, LLC | Clinic/Center | 100 Dreher Rd., Suite 100, West Columbia, SC 29169 | 2019-05-02 |
| 1215492129 | Cora South Carolina LLC | Clinic/Center | 2724 W Palmetto St Ste 2, Florence, SC 29501-4909 | 2019-02-05 |
| 1316421571 | Cora South Carolina LLC | Clinic/Center | 1907 N Highway 17 Ste 102, Mount Pleasant, SC 29464-9604 | 2018-09-24 |
| 1881177855 | Cora South Carolina LLC | Clinic/Center | 5625 Rivers Ave, North Charleston, SC 29406-6022 | 2018-09-14 |
| 1649751173 | Halcyon Rehabilitation, LLC | Clinic/Center | 2 Griffith Rd, Greenville, SC 29607-3503 | 2018-08-23 |
| Find all providers with the same taxonomy | ||||
| City | GEORGETOWN |
| Zip Code | 29440 |
Please comment or provide details below to improve the information on CORA SOUTH CAROLINA LLC.
| 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.