GRACE PHYSICAL THERAPY & SPORTS REHAB., LLC (NPI# 1730522491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730522491 |
| Entity Type | Organization |
| Organization Name | GRACE PHYSICAL THERAPY & SPORTS REHAB., LLC |
| Practice Address |
2695 Elms Plantation Blvd Suite C North Charleston SC 29406-9165 |
| Practice Telephone | 8439744097 |
| Practice Fax Number | 8439744125 |
| Mailing Telephone | 8439744097 |
| Mailing Fax Number | 8439744125 |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2013-09-17 |
| Authorized Official Name | KEN RASNER (CLINIC MANAGER) |
| Authorized Official Telephone | 8439744097 |
| 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 |
2695 ELMS PLANTATION BLVD SUITE C |
| City | NORTH CHARLESTON |
| State | SC |
| Zip Code | 29406-9165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699711945 | David Edward Stickler | Psychiatry & Neurology | 2695 Elms Plantation Blvd, Suite - A, North Charleston, SC 29406-7132 | 2006-06-22 |
| 1043685522 | Carly Runey | Physician Assistant | 2695 Elms Plantation Blvd, Suite A, North Charleston, SC 29406-7132 | 2015-12-09 |
| 1871967596 | Lauren Emily Barsan | Physician Assistant | 2695 Elms Plantation Blvd, Suite B, North Charleston, SC 29406-7132 | 2015-11-18 |
| 1144697244 | Megan Raymond | Physical Therapist | 2695 Elms Plantation Blvd, Suite D, North Charleston, SC 29406-7132 | 2015-08-25 |
| 1033521596 | Jared Lethco | Physical Therapist | 2695 Elms Plantation Blvd, Ste. C, North Charleston, SC 29406-7132 | 2014-06-02 |
| 1275891749 | Ryan Joseph Galica | Anesthesiology | 2695 Elms Plantation Blvd, North Charleston, SC 29406-7132 | 2012-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023622289 | Sara Desmarais | Physical Therapist | 2760 Tricom St, North Charleston, SC 29406 | 2020-09-04 |
| 1669036448 | Pink Elephant Autism Project | In Home Supportive Care | 8738 Red Oak Drive, Charleston, SC 29406 | 2019-04-26 |
| 1083171185 | Medical University Hospital Authority | Pharmacy | 2250 Mall Drive, North Charleston, SC 29406 | 2019-02-25 |
| 1336627371 | Truesdale Medical Center LLC | Internal Medicine | 6296 Rivers Ave., Suite 310, N. Charleston, SC 29406 | 2018-08-01 |
| 1164914552 | Amanda R Dipiazza | Nurse Anesthetist, Certified Registered | 9330 Medical Plaza Dr Ste E, Charleston, SC 29406 | 2018-06-01 |
| 1982148490 | Trident Medical Center | Psychiatric Hospital | 9225 C Medical Plaza Drive, Charleston, SC 29406 | 2016-12-19 |
| 1649726217 | First Choice Counseling Services, LLC | Community/Behavioral Health | 2245 Greenridge Rd., Unit#414, North Charleston, SC 29406 | 2016-09-01 |
| 1821443896 | Liberty Doctors, LLC | Family Medicine | 9275 D Medical Plaza Dr., North Charleston, SC 29406 | 2016-04-27 |
| 1174984645 | Ashia George | Developmental Therapist | 6650 Rivers Avenue, Ste 100, Charleston, SC 29406 | 2016-03-11 |
| 1023488582 | Etta Smith | Counselor | 2470 Mall Dr Unit Cd, North Charleston, SC 29406 | 2015-09-28 |
| Find all providers in zip 29406 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700354164 | Palmetto Primary Care Physicians | Clinic/Center | 2500 Elms Center Rd Ste B, North Charleston, SC 29406-9844 | 2018-11-05 |
| 1659725596 | Agilitas Usa, Inc | Clinic/Center | 2791 Tricom St Ste 102, North Charleston, SC 29406-8108 | 2016-04-18 |
| 1295117786 | Agilitas Usa, Inc | Clinic/Center | 3032 W Montague Ave Ste 101, North Charleston, SC 29418-7921 | 2015-06-22 |
| 1730355314 | Clemson Sports Medicine and Rehabilitation, Inc | Clinic/Center | 5401 Netherby Rd, Bldg 300 Suite 302, North Charleston, SC 29420-7363 | 2008-05-05 |
| 1609406727 | Occupational Health Centers of Southwest P.a. | Clinic/Center | 7519 Rivers Ave, North Charleston, SC 29406-4662 | 2020-01-16 |
| 1972166445 | Therapy Centers of South Carolina, P.a. | Clinic/Center | 4600 Goer Dr Ste 205, North Charleston, SC 29406-6536 | 2019-04-19 |
| 1033518766 | Imagine Physical Therapy North Rhett LLC | Clinic/Center | 5111 N Rhett Ave, North Charleston, SC 29405-4219 | 2014-08-19 |
| 1720397607 | Atlas Phyiscal Therapy of North Charleston | Clinic/Center | 8720 Northpark Blvd, Suite D, North Charleston, SC 29406-9220 | 2010-09-27 |
| 1811218423 | Effingham Rehab Services, Inc. | Clinic/Center | 4600 Goer Dr, Ste 206, North Charleston, SC 29406-6500 | 2010-06-17 |
| 1851500110 | Fischer Health Services, PC | Clinic/Center | 7481 Northside Dr, Ste. C, North Charleston, SC 29420-4282 | 2007-05-22 |
| Find all providers in NORTH CHARLESTON | ||||
| City | NORTH CHARLESTON |
| Zip Code | 29406 |
Please comment or provide details below to improve the information on GRACE PHYSICAL THERAPY & SPORTS REHAB., 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.