PRO CHIROPRACTIC AND PERFORMANCE, LLC. (NPI# 1346635752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346635752 |
| Entity Type | Organization |
| Organization Name | PRO CHIROPRACTIC AND PERFORMANCE, LLC. |
| Practice Address |
1014 Leesburg Rd Columbia SC 29209-2131 |
| Mailing Address |
150 Pelham Dr Columbia SC 29209-1320 |
| Practice Telephone | 8033093777 |
| Mailing Telephone | 8032273377 |
| Mailing Fax Number | 8032274884 |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2017-04-20 |
| Authorized Official Name | DR. PATRICK RYAN OTOOLE (OWNER) |
| Authorized Official Telephone | 8033093777 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
3877 | SC | Ambulatory Health Care Facilities |
| Street Address |
1014 LEESBURG RD |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29209-2131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992293013 | Pertile Group LLC | Family Medicine | 26 Foot Point Rd, Columbia, SC 29209 | 2018-04-24 |
| 1083156061 | Derek Clark | Physical Therapist | 6349 Garners Ferry Rd, Columbia, SC 29209 | 2016-11-08 |
| 1922450345 | Heather Alexander | Social Worker | 6439 Garners-ferry Road, Suite 122, Wjb Dorn Va, Columbia, SC 29209 | 2016-07-09 |
| 1265888325 | Daphne Elaine Allen | Counselor | 1850 Pinview Dr, Columbia, SC 29209 | 2016-05-09 |
| 1659757649 | Marc Edmundson | Pharmacist | 500 Gills Creek Pkwy #810, Columbia, SC 29209 | 2015-08-03 |
| 1477949113 | Winter Years Home Health Care Agency, LLC | Home Health | 1101 1st Street, P, Columbia, SC 29209 | 2015-04-09 |
| 1285045773 | Alireza Adhami | Pharmacist | 7235 Garners Ferry Rd, Columbia, SC 29209 | 2014-05-19 |
| 1790039212 | Immediate Dental Group Columbia | Dentist | 1118 Greenlawn Drive, Columbia, SC 29209 | 2012-11-06 |
| 1275896284 | Tariq Horani | Internal Medicine | 6349 Garners Ferry Road, Int Med -, Columbia, SC 29209 | 2012-06-25 |
| 1902165467 | Medcare Urgent Care Center Garners Ferry, LLC | Clinic/Center | 7418 Garners Ferry Road, Columbia, SC 29209 | 2012-05-03 |
| Find all providers in zip 29209 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
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| 1891356234 | Physiotherapy Associates, Inc. | Clinic/Center | 6300 Woodside Ct Ste E, Columbia, MD 21046-3360 | 2019-06-26 |
| 1528514130 | Lexington County Health Services District, Inc. | Clinic/Center | 7035 St Andrews Road, Ste 203, Columbia, SC 29212-1177 | 2016-09-01 |
| 1275790867 | Lutheran Senior Services | Clinic/Center | 3710 Lenoir St, Columbia, MO 65201-5463 | 2008-05-21 |
| 1801991625 | Physiotherapy Associates Inc | Clinic/Center | 8885 Centre Park Dr, Columbia, MD 21045-2199 | 2006-09-14 |
| 1093760928 | Sundance Rehabilitation Agency, Inc. | Clinic/Center | 6336 Cedar Ln, Columbia, MD 21044-3897 | 2006-05-22 |
| 1295784197 | Rehab Outreach, L.L.C. | Clinic/Center | 1100 Club Village Dr, Suite 103, Columbia, MO 65203-4409 | 2006-05-08 |
| 1144280603 | Select Physical Therapy Holdings Inc | Clinic/Center | 200 N Keene St, Columbia, MO 65201-8102 | 2006-03-27 |
| 1154380160 | Select Physical Therapy of St Louis Limited Partnership | Clinic/Center | 1150 Columbia Ctr, Columbia, IL 62236-2559 | 2006-03-20 |
| 1679181713 | Lexington County Health Services District, Inc. | Clinic/Center | 103 Summit Centre Dr, Columbia, SC 29229-7613 | 2020-07-15 |
| 1174142699 | Columbia Vantage House Rehabilitation LLC | Clinic/Center | 5400 Vantage Point Rd, Columbia, MD 21044-2681 | 2020-04-14 |
| Find all providers in COLUMBIA | ||||
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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.