KARYN LONGO CONGDON (NPI# 1053509182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053509182 |
Entity Type | Individual |
Full Name | KARYN LONGO CONGDON |
Practice Address |
3515 Caduceus Dr Ste A Myrtle Beach SC 29588-2922 |
Mailing Address |
Po Box 421718 Georgetown SC 29442-4203 |
Practice Telephone | 8432937085 |
Mailing Telephone | 8432937085 |
Enumeration Date | 2007-10-15 |
Last Update Date | 2007-10-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
3153 | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | LICENSE | 3153 | 01 |
Street Address |
3515 CADUCEUS DR STE A |
City | MYRTLE BEACH |
State | SC |
Zip Code | 29588-2922 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164619383 | Holly May | Speech-Language Pathologist | 3515 Caduceus Dr, Suite A, Myrtle Beach, SC 29588-2922 | 2007-10-02 |
1235599465 | Alyssa Denneny | Occupational Therapist | 3515 Caduceus Dr, Suite A, Myrtle Beach, SC 29588-2922 | 2016-03-01 |
1487882858 | Amanda Danielle Pittman | Speech-Language Pathologist | 3515 Caduceus Dr, Myrtle Beach, SC 29588-2922 | 2009-06-24 |
1295979508 | Gena Darby Howlett | Physical Therapist | 3515 Caduceus Dr, Suite E, Myrtle Beach, SC 29588-2922 | 2009-04-30 |
1891975025 | Heather Smith | Occupational Therapist | 3515 Caduceus Dr, Suite A, Myrtle Beach, SC 29588-2922 | 2007-11-05 |
1861689812 | Summer H Butler | Speech-Language Pathologist | 3515 Caduceus Dr, Suite A, Myrtle Beach, SC 29588-2922 | 2007-10-03 |
1548457534 | Georgetown Memorial Hospital | Clinic/Center | 3515 Caduceus Dr, Suite A, Myrtle Beach, SC 29588-2922 | 2007-10-03 |
1437346533 | Lindsay Smith Steelman | Occupational Therapist | 3515 Caduceus Dr, Suite A, Myrtle Beach, SC 29588-2922 | 2007-10-02 |
1568659654 | Christy L Corbin | Physical Therapist | 3515 Caduceus Dr, Myrtle Beach, SC 29588-2922 | 2007-10-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740819309 | Forrest Halsey Westley | Pharmacist | 3072 Dick Pond Rd. Suite 2, Myrtle Beach, SC 29588 | 2020-04-06 |
1588124176 | The Counseling Center of Sayebrook | Counselor | 106 Lansford Court Suite 202, Myrtle Beach, SC 29588 | 2019-03-21 |
1134631443 | Solid Foundations, LLC | Clinic/Center | 4325 Dick Pond Road, Suite E, Myrtle Beach, SC 29588 | 2017-10-26 |
1316496037 | Grand Strand Rehab and Nursing Center, LLC | Skilled Nursing Facility | 4452 Socastee Boulevard, Myrtle Beach, SC 29588 | 2016-09-22 |
1386092039 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 1370 South Commons Drive, Suite 102, Myrtle Beach, SC 29588 | 2016-06-02 |
1114314531 | Allison Smith | Physical Therapy Assistant | 4870 Socastee Blvd, Myrtle Beach, SC 29588 | 2015-04-23 |
1760806160 | Myrtle Beach Physical Medicine & Rehab, LLC | Family Medicine | 4736 17 Bypass South, Myrtle Beach, SC 29588 | 2014-02-06 |
1801228499 | Robin Ruth Gause | Lactation Consultant, Non-RN | 510 Fairwood Lakes Ave, 14-c, Myrtle Beach, SC 29588 | 2013-08-06 |
1124386438 | Horace Earl Ferguson Jr. | Technician/Technologist | 4535 Dick Pond Road, A, Myrtle Beach, SC 29588 | 2012-04-25 |
1831463652 | Medeyecare, LLC | Technician/Technologist | 4335 Socastee Blvd, Unit A, Myrtle Beach, SC 29588 | 2012-02-24 |
Find all providers in zip 29588 |
Taxonomy Code | 2251P0200X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548323520 | Carolina Pediatric Therapy | Physical Therapist | 538 Wild Horse Ct, Myrtle Beach, SC 29579-7577 | 2006-12-19 |
1295066751 | Meredith Bugenske | Physical Therapist | 4201 Carolina Exchange Dr, Suite 102, Myrtle Beach, SC 29579-4221 | 2010-01-23 |
1568659654 | Christy L Corbin | Physical Therapist | 3515 Caduceus Dr, Myrtle Beach, SC 29588-2922 | 2007-10-02 |
1336202498 | Tammy L Priganc | Physical Therapist | 538 Wild Horse Ct, Myrtle Beach, SC 29579-7577 | 2006-12-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285244756 | Cathy Schreiber | Physical Therapist | 2387 Lantern St, Charleston, SC 29414-4850 | 2020-08-08 |
1982221016 | Milestones & Movement Pediatric Physical Therapy, LLC | Physical Therapist | 206 Calm Water Way, Summerville, SC 29486-6902 | 2020-07-06 |
1114559192 | Stephen Bendziewicz | Physical Therapist | 206 Blackstone Dr, Irmo, SC 29063-7838 | 2020-02-07 |
1811467939 | Upstate Therapy Works | Physical Therapist | 256 Dellwood Dr, Spartanburg, SC 29301-5023 | 2018-12-01 |
1518433028 | Kimberly (kim) Fowler King | Physical Therapist | 334 Monroe Dr, Piedmont, SC 29673-9731 | 2018-10-23 |
1346725306 | Walker Physical Therapy & Wellness, LLC | Physical Therapist | 4720 Grey Moss Dr, Clover, SC 29710-8706 | 2018-09-26 |
1104313261 | Purposeful Play Pediatric Physical Therapy, LLC | Physical Therapist | 17 Plantation Cir, Summerville, SC 29485-3474 | 2018-04-15 |
1649785270 | Jaunitha Magwood | Physical Therapist | 124 Lisa Dr, Summerville, SC 29485-5307 | 2017-12-05 |
1629587191 | Playxcience LLC | Physical Therapist | 2023 Taney Way, Indian Land, SC 29707-7488 | 2017-09-27 |
1598281255 | Developmental Center for Exceptional Children | Physical Therapist | 1100 West Franklin Street, Anderson, SC 29624 | 2017-08-15 |
Find all providers with the same taxonomy |
City | MYRTLE BEACH |
Zip Code | 29588 |
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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.