CORA SOUTH CAROLINA LLC (NPI# 1093123531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093123531 |
| Entity Type | Organization |
| Organization Name | CORA SOUTH CAROLINA LLC |
| Other Organization Name | INDIGO THERAPY SPECIALISTS - MURRELLS INLET |
| Practice Address |
11931 Plaza Dr Murrells Inlet SC 29576-9356 |
| Mailing Address |
1110 Shawnee Rd Lima OH 45805-3529 |
| Practice Telephone | 8433574039 |
| Practice Fax Number | 8433574227 |
| Mailing Telephone | 4192216720 |
| Mailing Fax Number | 4192220507 |
| Enumeration Date | 2014-07-29 |
| Last Update Date | 2016-09-07 |
| Authorized Official Name | MR. BRAD C ROUSH (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Telephone | 4192216712 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
SC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP5180 | 05 |
| Other Name | Type Code |
|---|---|
| Indigo Therapy Specialists - Murrells Inlet | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366008955 | Cora South Carolina LLC | Clinic/Center | 515 Carnes Crossing Blvd Ste B, Summerville, SC 29486-0412 | 2019-05-20 |
| 1215492129 | Cora South Carolina LLC | Clinic/Center | 2724 W Palmetto St Ste 2, Florence, SC 29501-4909 | 2019-02-05 |
| 1316421571 | Cora South Carolina LLC | Clinic/Center | 1907 N Highway 17 Ste 102, Mount Pleasant, SC 29464-9604 | 2018-09-24 |
| 1881177855 | Cora South Carolina LLC | Clinic/Center | 5625 Rivers Ave, North Charleston, SC 29406-6022 | 2018-09-14 |
| 1164923355 | Cora South Carolina LLC | Clinic/Center | 876 Fording Island Rd Ste 2, Bluffton, SC 29910-8677 | 2018-02-23 |
| 1659871986 | Cora South Carolina LLC | Clinic/Center | 474 Bypass 72 Nw Ste A, Greenwood, SC 29649-1404 | 2018-02-13 |
| 1952767519 | Cora South Carolina LLC | Clinic/Center | 536 Highway 17 N, North Myrtle Beach, SC 29582-2904 | 2016-01-12 |
| 1831507235 | Cora South Carolina LLC | Clinic/Center | 4871 Socastee Blvd., Suite E, Myrtle Beach, SC 29588-9356 | 2014-07-29 |
| 1366850919 | Cora South Carolina LLC | Clinic/Center | 2199 North Frazer St., Georgetown, SC 29440-6409 | 2014-07-28 |
| 1104380344 | Cora South Carolina LLC | Clinic/Center | 876 Fording Island Rd Ste 2, Bluffton, SC 29910-8677 | 2019-01-22 |
| Street Address |
11931 PLAZA DR |
| City | MURRELLS INLET |
| State | SC |
| Zip Code | 29576-9356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801865399 | Jlc Rehab, Inc. | Physical Therapist | 11931 Plaza Dr, Murrells Inlet, SC 29576-9356 | 2006-03-16 |
| 1023652021 | Steven Scott Childress Jr. | Physical Medicine & Rehabilitation | 11931 Plaza Dr, Murrells Inlet, SC 29576-9356 | 2019-11-01 |
| 1366941197 | Cynthia Ann Hair | Physical Therapy Assistant | 11931 Plaza Dr, Murrells Inlet, SC 29576-9356 | 2018-02-07 |
| 1619378080 | Ashley Marlynne Sheffield | Physical Therapy Assistant | 11931 Plaza Dr, Murrells Inlet, SC 29576-9356 | 2014-09-04 |
| 1487929279 | Nicole Joann Lampo | Physical Therapist | 11931 Plaza Dr, Murrells Inlet, SC 29576-9356 | 2012-03-13 |
| 1770806341 | Santina M Marchese | Physical Therapist | 11931 Plaza Dr, Murrells Inlet, SC 29576-9356 | 2010-03-10 |
| 1194960872 | Indigo Therapy Specialists, LLC | Physical Therapist | 11931 Plaza Dr, Murrells Inlet, SC 29576-9356 | 2008-12-09 |
| 1295796183 | John R Thomas IIi | Physical Therapist | 11931 Plaza Dr, Murrells Inlet, SC 29576-9356 | 2006-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619577665 | Mobilityworks, LLC | Durable Medical Equipment & Medical Supplies | 11816 Frontage Rd., Murrells Inlet, SC 29576 | 2020-10-29 |
| 1457986267 | Seaside Eye Associates South LLC | Optometrist | 640 Morse Ave, Unit 11, Murrells Inlet, SC 29576 | 2020-03-12 |
| 1710443833 | Sirach Health Professional Limited Liability Company | Physical Medicine & Rehabilitation | 4070 Us Highway 17 Bypass South, Murrells Inlet, SC 29576 | 2019-02-13 |
| 1801350871 | Doctors Care, P.a. | Emergency Medicine | 12015 Highway 707, Murrells Inlet, SC 29576 | 2019-01-24 |
| 1568949154 | Melanie Lewis | Physical Therapist | 2586 Hwy 17 Business S, Murrells Inlet, SC 29576 | 2018-07-26 |
| 1528550035 | Lauren Munck | Family Medicine | Tidelands Waccamaw Community Hospital, 4070 Highway 17, Murrells Inlet, SC 29576 | 2018-05-31 |
| 1003312521 | Myrtle Beach Rehabilitation Hospital, LLC | Rehabilitation Hospital | 4070 Hwy 17 Bypass South, Murrells Inlet, SC 29576 | 2018-04-03 |
| 1467952218 | Jamaica E Alston | Student in an Organized Health Care Education/Training Program | 14 Ambassador Lane, Murrells Inlet, SC 29576 | 2018-02-19 |
| 1891209227 | Caleb Sims Whitney | Physical Medicine & Rehabilitation | 10800 Sc 707, Murrells Inlet, SC 29576 | 2017-11-21 |
| 1043720964 | Chartwell Durable Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 671 Jamestown Drive, Suite 104, Murrells Inlet, SC 29576 | 2017-10-05 |
| Find all providers in zip 29576 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528596384 | Pruitthealth Therapy Services, Inc. | Clinic/Center | 11951 Grandhaven Dr, Murrells Inlet, SC 29576-7843 | 2017-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164057048 | Proactive Therapy of South Carolina Inc | Clinic/Center | 2114 Highway 41 Ste 104, Mount Pleasant, SC 29466-6204 | 2020-03-11 |
| 1073157673 | Physiotherapy Associates, Inc. | Clinic/Center | 334 E Martintown Rd Unit 3, North Augusta, SC 29841-4261 | 2019-11-06 |
| 1265073241 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 5232 Sunset Blvd Ste B, Lexington, SC 29072-9347 | 2019-10-01 |
| 1366008955 | Cora South Carolina LLC | Clinic/Center | 515 Carnes Crossing Blvd Ste B, Summerville, SC 29486-0412 | 2019-05-20 |
| 1013573849 | Ace Physio & Wellness LLC | Clinic/Center | 3031 Marlin Rd, Johns Island, SC 29455-3904 | 2019-05-16 |
| 1750946067 | First Physical Therapy, LLC | Clinic/Center | 100 Dreher Rd., Suite 100, West Columbia, SC 29169 | 2019-05-02 |
| 1215492129 | Cora South Carolina LLC | Clinic/Center | 2724 W Palmetto St Ste 2, Florence, SC 29501-4909 | 2019-02-05 |
| 1316421571 | Cora South Carolina LLC | Clinic/Center | 1907 N Highway 17 Ste 102, Mount Pleasant, SC 29464-9604 | 2018-09-24 |
| 1881177855 | Cora South Carolina LLC | Clinic/Center | 5625 Rivers Ave, North Charleston, SC 29406-6022 | 2018-09-14 |
| 1649751173 | Halcyon Rehabilitation, LLC | Clinic/Center | 2 Griffith Rd, Greenville, SC 29607-3503 | 2018-08-23 |
| Find all providers with the same taxonomy | ||||
| City | MURRELLS INLET |
| Zip Code | 29576 |
Please comment or provide details below to improve the information on CORA SOUTH CAROLINA LLC.
| 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.