PRUITTHEALTH THERAPY SERVICES, INC. (NPI# 1811425671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811425671 |
| Entity Type | Organization |
| Organization Name | PRUITTHEALTH THERAPY SERVICES, INC. |
| Other Organization Name | PRUITTHEALTH THERAPY SERVICES - CONWAY |
| Practice Address |
2310 Highway 378 Conway SC 29527-4911 |
| Mailing Address |
1626 Jeurgens Ct Norcross GA 30093-2219 |
| Practice Telephone | 8433971010 |
| Mailing Telephone | 7702796200 |
| Mailing Fax Number | 7709254619 |
| 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 - Conway | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1679001440 | Pruitthealth Therapy Services, Inc. | Clinic/Center | 4520 Trenholm Rd, Columbia, SC 29206-4425 | 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 |
2310 HIGHWAY 378 |
| City | CONWAY |
| State | SC |
| Zip Code | 29527-4911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245511435 | Rocky Mountain Holdings LLC | Ambulance | 1700 Airport Road, Conway, SC 29527 | 2011-09-01 |
| 1295946838 | Bonnie Jean Miller | Occupational Therapy Assistant | 3300 4th. Ave., Conway, SC 29527 | 2007-05-25 |
| 1255987269 | Mansi D Patel | In Home Supportive Care | 2408 Westbrook Dr, Conway, SC 29527-3150 | 2019-08-15 |
| 1104862788 | James R Bean | Physician Assistant | 1013 Dunraven Ct, Conway, SC 29527-3154 | 2006-06-21 |
| 1194255315 | Canisha Sharron Rice | Home Health | 1213 Cymmer Ct, Conway, SC 29527-3165 | 2017-06-20 |
| 1578968988 | Pshanda Chante Pugh | Counselor | 1208 Dunraven Ct, Conway, SC 29527-3170 | 2014-10-28 |
| 1205457017 | Heather Melton Lee | Specialist/Technologist | 252 Maidens Choice Rd, Conway, SC 29527-3418 | 2020-05-04 |
| 1093336760 | Chelsea Kamens | Registered Nurse | 357 Shallow Cove Dr, Conway, SC 29527-3458 | 2020-05-04 |
| 1538628193 | Jasmine L Gaddy | Home Health | 728 Rose Moss Rd, Conway, SC 29527-3579 | 2019-03-13 |
| 1801213327 | Tonya Peavy | Registered Nurse | 729 Brown Swamp Rd, Conway, SC 29527-3636 | 2014-03-21 |
| Find all providers in zip 29527 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083071807 | Tegan Hinaman | Clinic/Center | 302 Kiskadee Loop, Unit A, Conway, SC 29526-9771 | 2016-01-25 |
| 1679779920 | Kymes-lyons Physical Therapy and Sports Performance Center Pa | Clinic/Center | 575 Club Lane, Conway, AR 72032 | 2007-06-25 |
| 1487616504 | Select Physical Therapy Holdings Inc | Clinic/Center | 201 Graduate Rd, Unit 108, Conway, SC 29526-8677 | 2006-04-04 |
| 1609997311 | Kid Success, Inc. | Clinic/Center | 2740 College Avenue, Conway, AR 72034 | 2007-04-02 |
| 1477522217 | Select Physical Therapy Holdings Inc | Clinic/Center | 2425 Dave Ward Dr, Number 103, Conway, AR 72034-8686 | 2006-03-15 |
| 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 | ||||
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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.