IMAGINE PHYSICAL THERAPY IN WEST ASHLEY, LLC (NPI# 1588977862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588977862 |
| Entity Type | Organization |
| Organization Name | IMAGINE PHYSICAL THERAPY IN WEST ASHLEY, LLC |
| Practice Address |
1964 Ashley River Rd Suite C Charleston SC 29407-4737 |
| Mailing Address |
1964 Ashley River Rd Suite C-1 Charleston SC 29407-4737 |
| Practice Telephone | 8435764121 |
| Practice Fax Number | 8437933575 |
| Mailing Telephone | 8435764121 |
| Mailing Fax Number | 8437933575 |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2010-09-17 |
| Authorized Official Name | JOHN A MART (OWNER) |
| Authorized Official Telephone | 8433755448 |
| Authorized Official Credential | MSPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Street Address |
1964 ASHLEY RIVER RD SUITE C |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29407-4737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013005834 | Gabriel Mattson | Physical Therapist | 1964 Ashley River Rd, Suite C-1, Charleston, SC 29407-4737 | 2006-10-10 |
| 1316300817 | Anna Elizabeth Williams | Behavioral Analyst | 1964 Ashley River Rd, Charleston, SC 29416-1400 | 2016-04-01 |
| 1447656004 | Kelli Fitzpatrick | Physical Therapist | 1964 Ashley River Rd, Suite C-1, Charleston, SC 29407-4737 | 2014-11-10 |
| 1225384191 | Elizabeth Ponton | Physical Therapist | 1964 Ashley River Rd, Suite C-1, Charleston, SC 29407-4737 | 2012-07-30 |
| 1821379801 | Pointe Dialysis LLC | Clinic/Center | 1964 Ashley River Rd, Suite D-3, Charleston, SC 29407-4737 | 2011-09-02 |
| 1447531421 | Coast Dialysis LLC | Clinic/Center | 1964 Ashley River Rd, Suite D-2, Charleston, SC 29407-4737 | 2011-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437763661 | Charleston Jaw Surgery | Oral & Maxillofacial Surgery | 846 St. Andrews Blvd., Charleston, SC 29407 | 2020-09-04 |
| 1780225128 | New Endeavors Counseling | Social Worker | 1 Carriage Lane Building E Suite 202, Charleston, SC 29407 | 2019-10-07 |
| 1770063158 | Katelyn Campbell | Psychologist | 1 Carriage Ln Ste 102, Charleston, SC 29407 | 2018-08-15 |
| 1164929956 | Anisha Gulati Md LLC | Psychiatry & Neurology | 925 Wappoo Rd., Suite F, Charleston, SC 29407 | 2018-04-09 |
| 1316459753 | David W Richardson | Dentist | 765 St. Andrews Blvd., Charleston, SC 29407 | 2017-10-25 |
| 1457874174 | Meca Mentality LLC | Chiropractor | 1106 St Andrews Blvd Suite A, Charleston, SC 29407 | 2017-07-25 |
| 1639609373 | Carolina Behavioral Specialists, LLC | Behavioral Analyst | 1529 Sam Rittenberg Blvd, Unit 1-b, Charleston, SC 29407 | 2017-06-15 |
| 1467991901 | Bernice Ladson | Registered Nurse | 75o Magnolia Road, Charleston, SC 29407 | 2017-02-16 |
| 1376991257 | Virginia Leigh Thomason | Counselor | 29 Leinbach Dr, Suite D2, Charleston, SC 29407 | 2016-06-01 |
| 1609221001 | Elinor Lee Smith | Counselor | 571 Savannah Hwy, Charleston, SC 29407 | 2016-05-04 |
| Find all providers in zip 29407 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477197945 | Greene Physical Therapy LLC | Clinic/Center | 824 Farnham Rd, Charleston, SC 29412-4806 | 2019-10-29 |
| 1861964520 | Elevated Physical Therapy LLC | Clinic/Center | 44 Markfield Dr Ste B, Charleston, SC 29407-7908 | 2018-12-19 |
| 1275022568 | Uxl Physical Therapy and Wellness Services LLC | Clinic/Center | 13 Fieldfare Way, Charleston, SC 29414-6933 | 2018-05-02 |
| 1568959864 | Made 2 Move | Clinic/Center | 115 Pier View Street Daniel Island, Sc 2942, 866-447-9721, Charleston, SC 29492-2949 | 2018-04-23 |
| 1093202665 | First Settlement Physical Therapy | Clinic/Center | 1001 Bridge Rd, Charleston, WV 25314-1305 | 2018-04-18 |
| 1932580065 | Dpt, Inc | Clinic/Center | 5510 Maccorkle Ave Se, Charleston, WV 25304 | 2015-06-15 |
| 1972910529 | Charleston Therapeutic Yoga | Clinic/Center | 2877 Doncaster Dr, Charleston, SC 29414-6737 | 2014-07-15 |
| 1619000726 | Therapy Centers of South Carolina, P.a. | Clinic/Center | 4115 Dorchester Road, Suite 100, Charleston, SC 29405 | 2007-03-14 |
| 1295751378 | Matrix Rehabilitation South Carolina, Inc. | Clinic/Center | 11 Gamecock Ave, Suite 1103, Charleston, SC 29407-3380 | 2006-07-14 |
| 1932144540 | Charleston Physical Therapy Practice Pa | Clinic/Center | 1730b Savannah Hwy, Charleston, SC 29407-6255 | 2006-06-18 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29407 |
Please comment or provide details below to improve the information on IMAGINE PHYSICAL THERAPY IN WEST ASHLEY, 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.