PROACTIVE THERAPY OF SOUTH CAROLINA INC (NPI# 1336149848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336149848 |
Entity Type | Organization |
Organization Name | PROACTIVE THERAPY OF SOUTH CAROLINA INC |
Other Organization Name | SELECT PYSICAL THERAPY |
Practice Address |
7 S Alliance Dr Goose Creek SC 29445-7172 |
Mailing Address |
4714 Gettysburg Rd Legal Department Mechanicsburg PA 17055-4325 |
Practice Telephone | 8435693879 |
Practice Fax Number | 8435693848 |
Mailing Telephone | 7179721100 |
Mailing Fax Number | 7179759981 |
Enumeration Date | 2005-07-26 |
Last Update Date | 2010-08-31 |
Authorized Official Name | MR. MICHAEL E. TARVIN (VICE PRESIDENT) |
Authorized Official Telephone | 7179721100 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
SC | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Select Pysical Therapy | Doing Business As Name - Organization |
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 |
Street Address |
7 S ALLIANCE DR |
City | GOOSE CREEK |
State | SC |
Zip Code | 29445-7172 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780123984 | Ppcp Specialty Physicians, LLC | Internal Medicine | 7 S Alliance Dr, Ste 202-a, Goose Creek, SC 29445-7269 | 2017-02-21 |
1104258953 | Schayla Danyell Axson | Occupational Therapist | 7 S Alliance Dr, Suite 102a, Goose Creek, SC 29445-7269 | 2013-08-04 |
1730425166 | Laura Rose Davidge | Occupational Therapist | 7 S Alliance Dr, Suite 102 A, Goose Creek, SC 29445-7269 | 2012-12-12 |
1184997348 | Celeste J Curnick | Nurse Practitioner | 7 S Alliance Dr, Ste 202a, Goose Creek, SC 29445-7269 | 2012-02-20 |
1154605707 | Palmetto Primary Care Physicians | Radiology | 7 S Alliance Dr, Ste 202-a, Goose Creek, SC 29445-7269 | 2011-09-30 |
1639469117 | Palmetto Primary Care Physicians | Psychiatry & Neurology | 7 S Alliance Dr, Ste 202-a, Goose Creek, SC 29445-7269 | 2011-04-18 |
1538310875 | Kristina Cordie | Physical Therapy Assistant | 7 S Alliance Dr, Suite 102a, Goose Creek, SC 29445-7269 | 2008-10-06 |
1831164169 | Matthew W Gunn | Physical Therapist | 7 S Alliance Dr, Ste 102a, Goose Creek, SC 29445-7172 | 2006-02-21 |
1477527307 | Cynthia Caughman Vannoy | Physical Therapist | 7 S Alliance Dr, Goose Creek, SC 29445-7269 | 2006-02-15 |
1609840818 | Marjorie Ann Ratliff | Physical Therapist | 7 S Alliance Dr, Ste 102a, Goose Creek, SC 29445-7172 | 2006-02-14 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790309953 | Auriel Mcconnell | Home Health | 616 One Mans Court, Mount Pleasant, SC 29445 | 2020-06-03 |
1215594023 | Tanova Cornise Robinson | Counselor | 96 Wisteria Road, Goose Creek, SC 29445 | 2019-05-28 |
1417421777 | Debra Liana Kerness | Social Worker | 100-a Central Avenue, Suite 203, Goose Creek, SC 29445 | 2019-01-18 |
1043663503 | Aimee Nehiley | Dentist | 615 Saint James Ave, Goose Creek, SC 29445 | 2016-07-20 |
1881057032 | Eddie Emanuel Nance | Family Medicine | 110 Naval Nuclear Power Training Command Cir, Goose Creek, SC 29445 | 2016-04-04 |
1295195188 | Dental Professionals of South Carolina, PC | Dentist | 615 St. James Ave, Goose Creek, SC 29445 | 2016-03-04 |
1144603622 | Laryssa Smith | Pharmacist | 215 St. James Ave, Goose Creek, SC 29445 | 2015-07-02 |
1730439126 | O'stacia Williamson | Pharmacist | 1316 Redbank Rd, 9, Goose Creek, SC 29445 | 2012-09-13 |
1164771275 | Mary Ashley Watts | Pharmacist | 431 B St James Ave Suite I, Goose Creek, SC 29445 | 2012-09-05 |
1598048860 | Brianne Michele Terry | Pharmacist | 142 East Saint James Ave, Goose Creek, SC 29445 | 2011-09-23 |
Find all providers in zip 29445 |
Taxonomy Code | 261QP2000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Physical Therapy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306480702 | Palmetto Primary Care Physicians, LLC | Clinic/Center | 119 Springhall Dr Ste A2, Goose Creek, SC 29445-5368 | 2019-10-30 |
1689010308 | Clemson Sports Medicine and Rehabilitation, Inc | Clinic/Center | 217a Saint James Ave, Goose Creek, SC 29445-2990 | 2013-05-21 |
1942508700 | Joints In Motion Physical Therapy and Wellness, LLC | Clinic/Center | 214 Saint James Ave, Suite 140 B, Goose Creek, SC 29445-2974 | 2011-03-03 |
1629524558 | Agilitas Usa, Inc | Clinic/Center | 514 Saint James Ave Unit G, Goose Creek, SC 29445-2767 | 2016-08-31 |
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 |
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 |
1518430339 | Mary Mattis P T Inc | Clinic/Center | 465 Greenwich Dr, Aiken, SC 29803-6541 | 2019-01-03 |
Find all providers with the same taxonomy |
City | GOOSE CREEK |
Zip Code | 29445 |
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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.