CRESCENT PHYSICAL THERAPY LLC (NPI# 1275939894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275939894 |
Entity Type | Organization |
Organization Name | CRESCENT PHYSICAL THERAPY LLC |
Practice Address |
1180 Boulevard Street Suite D Orangeburg SC 29116 |
Mailing Address |
Po Box 2909 Orangeburg SC 29116-2909 |
Practice Telephone | 8039375489 |
Practice Fax Number | 8039375492 |
Mailing Telephone | 8039375489 |
Mailing Fax Number | 8039375492 |
Enumeration Date | 2014-11-10 |
Last Update Date | 2015-12-09 |
Authorized Official Name | CHRISTOPHER KILGUS (PHYSICAL THERAPIST) |
Authorized Official Telephone | 8039375489 |
Authorized Official Credential | DPT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
6954 | SC | Ambulatory Health Care Facilities |
Street Address |
1180 BOULEVARD STREET SUITE D |
City | ORANGEBURG |
State | SC |
Zip Code | 29116 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144364878 | Orangeburg Personal Care Service LLC | Home Health | 128 Beef Jerky Dr, Orangeburg, SC 29116 | 2007-02-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144820762 | Phoenix Physical Therapy Pllc | Clinic/Center | 337 Blaisdell Rd, Orangeburg, NY 10962-2508 | 2020-11-01 |
1164022372 | Palmetto Medical Transportation, LLC | Ambulance | 161 Centre St, Orangeburg, SC 29115-6043 | 2020-10-27 |
1477152569 | Katelyn Marie Spicer | Registered Nurse | 3 Helaine Ct, Orangeburg, NY 10962-2305 | 2020-10-20 |
1134726581 | Destiny Smith | Nurse's Aide | 1520 Russell St Ste 101a, Orangeburg, SC 29115-6064 | 2020-10-07 |
1568074656 | Healthstat Inc Zeus Blvd B | Preventive Medicine | 1170 Boulevard St Ste B, Orangeburg, SC 29115-4359 | 2020-08-19 |
1245840545 | Phrygreen Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 60 Dutch Hill Rd # Gl-2, Orangeburg, NY 10962-1723 | 2020-08-03 |
1255941571 | Megan Millhouse | Nurse Practitioner | 670 Medway Dr, Orangeburg, SC 29118-2823 | 2020-08-01 |
1134747694 | Tedro Ramone Rouse | Speech-Language Pathologist | 2828 Lakeside St, Orangeburg, SC 29118-1818 | 2020-07-10 |
1164040788 | A Village Home Care LLC | In Home Supportive Care | 1408 Russell St Ste 15, Orangeburg, SC 29115-6071 | 2020-07-09 |
1255958989 | Loretta J Singleton | Home Health Aide | 617 Norway Rd, Orangeburg, SC 29115-8787 | 2020-06-29 |
Find all providers in ORANGEBURG |
Taxonomy Code | 261QP2000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Physical Therapy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144820762 | Phoenix Physical Therapy Pllc | Clinic/Center | 337 Blaisdell Rd, Orangeburg, NY 10962-2508 | 2020-11-01 |
1356696579 | Impact Physical Therapy, Pllc | Clinic/Center | 60 Dutch Hill Rd, 2, Orangeburg, NY 10962-1723 | 2012-07-14 |
1871675421 | Clemson Sports Medicine and Rehabilitation | Clinic/Center | 119 Office Park Dr, Orangeburg, SC 29118-2407 | 2006-10-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104426907 | Firefly Therapy Clinic LLC | Clinic/Center | 2103 Hartness Dr, Greenville, SC 29615-5497 | 2020-10-29 |
1457961963 | Midlands Physical Therapy and Wellness LLC. | Clinic/Center | 115 Pettus Ln, Newberry, SC 29108-7719 | 2020-08-10 |
1568071017 | Pt Dispatch, LLC | Clinic/Center | 81 Pointe Cir Ste D-18, Greenville, SC 29615-3505 | 2020-07-29 |
1356974067 | Mastering Milestones, LLC | Clinic/Center | 1564 Red Tide Rd, Mount Pleasant, SC 29466-9406 | 2020-02-20 |
1306480702 | Palmetto Primary Care Physicians, LLC | Clinic/Center | 119 Springhall Dr Ste A2, Goose Creek, SC 29445-5368 | 2019-10-30 |
1477197945 | Greene Physical Therapy LLC | Clinic/Center | 824 Farnham Rd, Charleston, SC 29412-4806 | 2019-10-29 |
1962045500 | Bright Physical Therapy, LLC | Clinic/Center | 4010 E North St Ste 4, Greenville, SC 29615-6208 | 2019-10-28 |
1841848991 | Holistic Therapeutic Services of Sc LLC | Clinic/Center | 3810 Masters Cir, Florence, SC 29501-8514 | 2019-09-03 |
1447806518 | Turner Sports Performance, LLC | Clinic/Center | 407 Long Forest Cir, Anderson, SC 29625-1103 | 2019-08-14 |
1700348711 | Five Star Rehabilitation and Wellness Services, LLC. | Clinic/Center | 9547 N Kings Hwy, Myrtle Beach, SC 29572 | 2019-04-01 |
Find all providers with the same taxonomy |
City | ORANGEBURG |
Zip Code | 29116 |
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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.