Charleston Pediatric Rehabilitation Llc

LBN: Charleston Pediatric Rehabilitation Llc
Charleston Pediatric Rehabilitation Llc is an health care organization with primary practice located at 1407 Ashley River Rd , Charleston SC 29407-5305. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. Charleston Pediatric Rehabilitation Llc can be contacted via phone (843) 769-0663, or through Coyle, Michael via phone (843) 769-0663.

Contact Information

Primary practice address
1407 Ashley River Rd Charleston SC 29407-5305
Phone: (843) 769-0663
Fax: (843) 769-0556
Website:
Map and Directions
Authorized official contact:
Name: Coyle, Michael OTRL
Phone: (843) 769-0663

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1932276805
LBN Legal business name Charleston Pediatric Rehabilitation Llc
DBA Doing business as
Authorized official Coyle, Michael OTRL
Entity Organization
Organization subpart 1 No
Enumeration date Nov 29th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932276805 NPPES
South Carolina MEDICAID GP3373

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