EAST COOPER WELLNESS (NPI# 1255747283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255747283 |
| Entity Type | Organization |
| Organization Name | EAST COOPER WELLNESS |
| Other Organization Name | EAST COOPER WELLNESS |
| Practice Address |
1965 Riviera Dr Mt Pleasant SC 29464-7469 |
| Mailing Address |
3741 Tideland Dr Johns Island SC 29455-7456 |
| Practice Telephone | 8435713100 |
| Practice Fax Number | 8437667798 |
| Mailing Telephone | 8434254694 |
| Mailing Fax Number | 8437667798 |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2014-09-11 |
| Authorized Official Name | KAREN LUCKIE (OFFICE MANAGER) |
| Authorized Official Telephone | 8435713100 |
| Is Organization Subpart | Y |
| Parent Organization Name | WEST ASHLEY WELLNESS & REHABILITATION, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | 23765 | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | NPI FOR WEST ASHLEY WELLNESS & REHABILITATION, LLC | 1962726117 | 01 |
| Other Name | Type Code |
|---|---|
| EAST COOPER WELLNESS | Doing Business As Name - Organization |
| Street Address |
1965 RIVIERA DR |
| City | MT PLEASANT |
| State | SC |
| Zip Code | 29464-7469 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093763732 | Tony Wayne Vanderpool | Chiropractor | 1965 Riviera Dr, Suite 3, Mt Pleasant, SC 29464-7469 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811548241 | Bradley Paul Anuszkiewicz | Chiropractor | 1501 Johnnie Dodds Blvd, Suite C, Mount Pleasant, SC 29464 | 2019-09-26 |
| 1447808696 | Laura Mariah Crouse | Speech-Language Pathologist | Coastal Therapy Services, 1127 Queensborough Blvd, Mt Pleasant, SC 29464 | 2019-08-30 |
| 1912461807 | Independent Optical | Optometrist | 1710 Shoremead Rd, Suite 420, Mount Pleasant, SC 29464 | 2019-01-25 |
| 1417446204 | Michael Adam Sugarman | Clinical Neuropsychologist | 1459 Stuart Engals Blvd Ste 204a, Mt Pleasant, SC 29464 | 2018-05-07 |
| 1578064192 | Ancillary Specialists LLC | Durable Medical Equipment & Medical Supplies | 636 Long Point Road, Unit G, #19, Mount Pleasant, SC 29464 | 2018-02-28 |
| 1346769015 | Christin Solomon Zerega | Counselor | Lowcountry Psychiatry Group, 913 Bowman Rd, #4, Mount Pleasant, SC 29464 | 2017-09-14 |
| 1336660315 | Charleston Neuropsychology LLC | Psychologist | 1459 Stuart Engals Blvd., Suite 204a, Mount Pleasant, SC 29464 | 2017-06-29 |
| 1790219970 | Adam Hudepohl | Family Medicine | 1400 Ben Sawyer Blvd, Mt Pleasant, SC 29464 | 2017-04-14 |
| 1386181204 | Alicia Taylor | Speech-Language Pathologist | 381 Stonewall Ct Apt 6207, Mount Pleasant, SC 29464 | 2017-01-30 |
| 1285181941 | Tara Lynn Mast | Physical Therapist | 1400 Caliper Oak Circle, Apt 316, Mount Pleasant, SC 29464 | 2016-09-09 |
| Find all providers in zip 29464 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194793364 | William Thomas Weaver | Rehabilitation Practitioner | Central Michigan University, Chip Facility, Mt Pleasant, MI 48859-0001 | 2006-03-14 |
| 1275954752 | Rebecca Shebester | Rehabilitation Practitioner | 1627 E Broomfield St, Mt Pleasant, MI 48858-5429 | 2013-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861808891 | Walterboro Wellness, LLC | Rehabilitation Practitioner | 110b N Memorial Ave, Walterboro, SC 29488-3908 | 2014-07-10 |
| 1053395087 | Terri Fulton | Rehabilitation Practitioner | 29 N Academy St, Greenville, SC 29601-2629 | 2005-12-02 |
| 1497111397 | Ltc Therapy Solutions LLC | Rehabilitation Practitioner | 1624 Main St, Columbia, SC 29201-2818 | 2016-01-07 |
| 1518185479 | Dortlies Helene Releford | Rehabilitation Practitioner | 1110 Marshall Rd, Greenwood, SC 29646-4216 | 2007-04-23 |
| 1881777134 | Rehab and Geriatrics | Rehabilitation Practitioner | 2935 Colonial Dr, Columbia, SC 29203-6811 | 2006-10-23 |
| 1265529499 | Samuel A Black, Md, LLC | Rehabilitation Practitioner | 129 N Washington St, Sumter, SC 29150-4949 | 2006-10-09 |
| City | MT PLEASANT |
| Zip Code | 29464 |
Please comment or provide details below to improve the information on EAST COOPER WELLNESS.
| 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.