Imagine Physical Therapy Llc
LBN: Imagine Physical Therapy Llc
Imagine Physical Therapy Llc is an health care organization with primary practice located at 1125 Landau Lane , Mt Pleasant SC 29466-7300. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Ambulatory Health Care Facilities / Physical Therapy. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty.
Imagine Physical Therapy Llc can be contacted via phone (843) 375-5448, or through Mart, John via phone (843) 375-5448.
Contact Information
Primary practice address
1125 Landau Lane
Mt Pleasant SC 29466-7300
Phone: (843) 375-5448
Fax: (843) 628-6624
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | ||
| Ambulatory Health Care Facilities / Physical Therapy | 261QP2000X |
Profile Details
| NPI number | 1245241041 |
|---|---|
| LBN Legal business name | Imagine Physical Therapy Llc |
| DBA Doing business as | |
| Authorized official | Mart, John |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Apr 18th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245241041 | NPPES |
| South Carolina | MEDICAID | GP4419 |
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