PRUITTHEALTH THERAPY SERVICES, INC. (NPI# 1679001440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679001440 |
| Entity Type | Organization |
| Organization Name | PRUITTHEALTH THERAPY SERVICES, INC. |
| Other Organization Name | PRUITTHEALTH THERAPY SERVICES - KATHWOOD |
| Practice Address |
4520 Trenholm Rd Columbia SC 29206-4425 |
| Mailing Address |
1626 Jeurgens Ct Norcross GA 30093-2219 |
| Practice Telephone | 8037871234 |
| Mailing Telephone | 7702796200 |
| Enumeration Date | 2017-05-24 |
| Last Update Date | 2017-05-24 |
| Authorized Official Name | MR. NEIL L. PRUITT JR. (CHAIRMAN AND CEO) |
| Authorized Official Telephone | 7702796200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| PruittHealth Therapy Services - Kathwood | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811425671 | Pruitthealth Therapy Services, Inc. | Clinic/Center | 2310 Highway 378, Conway, SC 29527-4911 | 2017-05-24 |
| 1013152933 | Pruitthealth Therapy Services, Inc. | Clinic/Center | 2249 Vinson Highway, Milledgeville, GA 31061-4807 | 2008-12-05 |
| 1295263069 | Pruitthealth Therapy Services, Inc. | Clinic/Center | 420 W Farley Ave, Laurens, SC 29360-3039 | 2017-05-24 |
| 1659809424 | Pruitthealth Therapy Services, Inc. | Clinic/Center | 5422 Augusta Rd, Lexington, SC 29072-3892 | 2017-05-24 |
| 1346778115 | Pruitthealth Therapy Services, Inc. | Clinic/Center | 990 Columbia Ave, Irmo, SC 29063-2884 | 2017-05-24 |
| 1720516594 | Pruitthealth Therapy Services, Inc. | Clinic/Center | 1785 Lexington Commons Dr, Rock Hill, SC 29732-3528 | 2017-05-24 |
| 1447788211 | Pruitthealth Therapy Services, Inc. | Clinic/Center | 2705 Leaphart Rd, West Columbia, SC 29169-3335 | 2017-05-24 |
| 1538697313 | Pruitthealth Therapy Services, Inc. | Clinic/Center | 1020 N Congress St, York, SC 29745-1351 | 2017-05-24 |
| 1528596384 | Pruitthealth Therapy Services, Inc. | Clinic/Center | 11951 Grandhaven Dr, Murrells Inlet, SC 29576-7843 | 2017-05-24 |
| Street Address |
4520 TRENHOLM RD |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29206-4425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053787663 | Fc Midlands Kathwood, LLC | Assisted Living Facility | 4520 Trenholm Rd, Columbia, SC 29206-4425 | 2015-08-18 |
| 1326509480 | Caroline Victoria Gallin | Occupational Therapist | 4520 Trenholm Rd, Columbia, SC 29206-4425 | 2019-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710403720 | Twila Wilson | Adult Companion | 5741 D Imboden Street, Columbia, SC 29206 | 2017-08-21 |
| 1164978961 | Uri Reisman | Social Worker | 3730 Rockbridge Rd, Columbia, SC 29206 | 2016-08-31 |
| 1902237621 | Ronald Patrick Pellicer | Counselor | 6941 N Trenholm Rd Ste F102, Columbia, SC 29206 | 2013-12-05 |
| 1316376791 | Laraine Kim Jenkins | Counselor | 5211 Trenholm Rd, Suite B, Columbia, SC 29206 | 2013-11-05 |
| 1437409802 | Charles B Roman IIi | Pharmacist | 4711-5 Forest Drive, Columbia, SC 29206 | 2012-09-13 |
| 1306129879 | Rickey Gene Ayers | Counselor | 1800 Forest Drive, C, Columbia, SC 29206 | 2011-09-21 |
| 1285924316 | Lexington County Health Services District, Inc. | Internal Medicine | 4540 Trenholm Road, Columbia, SC 29206 | 2011-04-11 |
| 1144547860 | Alicia K. Harvey | Counselor | 5115 Forest Plaza Suite D, The Art and Play Therapy Center of S.c., Columbia, SC 29206 | 2010-04-21 |
| 1669703880 | Crystal Coleman | Occupational Therapist | 5234 Circle Dr, Columbia, SC 29206 | 2010-01-28 |
| 1689896938 | Carolina Dental Associates, P.a. | Dentist | 5101 Forest Drive, Columbia, SC 29206 | 2007-05-03 |
| Find all providers in zip 29206 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891356234 | Physiotherapy Associates, Inc. | Clinic/Center | 6300 Woodside Ct Ste E, Columbia, MD 21046-3360 | 2019-06-26 |
| 1528514130 | Lexington County Health Services District, Inc. | Clinic/Center | 7035 St Andrews Road, Ste 203, Columbia, SC 29212-1177 | 2016-09-01 |
| 1346635752 | Pro Chiropractic and Performance, LLC. | Clinic/Center | 1014 Leesburg Rd, Columbia, SC 29209-2131 | 2015-04-02 |
| 1275790867 | Lutheran Senior Services | Clinic/Center | 3710 Lenoir St, Columbia, MO 65201-5463 | 2008-05-21 |
| 1801991625 | Physiotherapy Associates Inc | Clinic/Center | 8885 Centre Park Dr, Columbia, MD 21045-2199 | 2006-09-14 |
| 1093760928 | Sundance Rehabilitation Agency, Inc. | Clinic/Center | 6336 Cedar Ln, Columbia, MD 21044-3897 | 2006-05-22 |
| 1295784197 | Rehab Outreach, L.L.C. | Clinic/Center | 1100 Club Village Dr, Suite 103, Columbia, MO 65203-4409 | 2006-05-08 |
| 1144280603 | Select Physical Therapy Holdings Inc | Clinic/Center | 200 N Keene St, Columbia, MO 65201-8102 | 2006-03-27 |
| 1154380160 | Select Physical Therapy of St Louis Limited Partnership | Clinic/Center | 1150 Columbia Ctr, Columbia, IL 62236-2559 | 2006-03-20 |
| 1679181713 | Lexington County Health Services District, Inc. | Clinic/Center | 103 Summit Centre Dr, Columbia, SC 29229-7613 | 2020-07-15 |
| 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.