Myrtle Beach Physical Therapy

LBN: Clemson Sports Medicine And Rehabilitation
Myrtle Beach Physical Therapy is an health care organization with primary practice located at 4237 River Hills Dr Suite 120, Little River SC 29566-6444. The organization recently has 4 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation, Ambulatory Health Care Facilities / Physical Therapy, Hospital Units / Rehabilitation Unit, Suppliers / Prosthetic/Orthotic Supplier. Hospital Units / Rehabilitation Unit is the primary health care specialty. Clemson Sports Medicine And Rehabilitation can be contacted via phone (843) 249-5616, or through Fitzgerald, Charleen via phone (864) 482-0064.

Contact Information

Primary practice address
4237 River Hills Dr Suite 120 Little River SC 29566-6444
Phone: (843) 249-5616
Fax: (843) 249-1843
Website:
Map and Directions
Authorized official contact:
Name: Fitzgerald, Charleen
Phone: (864) 482-0064

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation 225XP0019X
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X
Hospital Units / Rehabilitation Unit 273Y00000X
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1720160450
LBN Legal business name Clemson Sports Medicine And Rehabilitation
DBA Doing business as Myrtle Beach Physical Therapy
Authorized official Fitzgerald, Charleen
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 20th, 2006
Last updated Nov 17th, 2014 - about 10 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 1720160450 NPPES
South Carolina Other 5092260004 DMERC PROVIDER #

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