Imagine Physical Therapy Old Village Llc

LBN: Imagine Physical Therapy Old Village Llc
Imagine Physical Therapy Old Village Llc is an health care organization with primary practice located at 1304 Erckmann Dr Unit C , Mt Pleasant SC 29464-5536. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Imagine Physical Therapy Old Village Llc can be contacted via phone (843) 971-7668, or through Williamson, Beth via phone (843) 804-9479.

Contact Information

Primary practice address
1304 Erckmann Dr Unit C Mt Pleasant SC 29464-5536
Phone: (843) 971-7668
Fax: (843) 971-7666
Website:
Map and Directions
Authorized official contact:
Name: Williamson, Beth
Phone: (843) 804-9479

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X

Profile Details

NPI number 1477937662
LBN Legal business name Imagine Physical Therapy Old Village Llc
DBA Doing business as
Authorized official Williamson, Beth
Entity Organization
Organization subpart 1 No
Enumeration date Jul 17th, 2015
Last updated Aug 3rd, 2022 - about 2 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 1477937662 NPPES
South Carolina MEDICAID GP6984

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