PRUITTHEALTH THERAPY SERVICES, INC. (NPI# 1447788211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447788211 |
| Entity Type | Organization |
| Organization Name | PRUITTHEALTH THERAPY SERVICES, INC. |
| Other Organization Name | PRUITTHEALTH THERAPY SERVICES - WEST COLUMBIA |
| Practice Address |
2705 Leaphart Rd West Columbia SC 29169-3335 |
| Mailing Address |
1626 Jeurgens Ct Norcross GA 30093-2219 |
| Practice Telephone | 8039393000 |
| Mailing Telephone | 7702796200 |
| Enumeration Date | 2017-05-24 |
| Last Update Date | 2017-05-24 |
| Authorized Official Name | MR. NEIL L PRUITT JR. (CHAIRMAN AND CEO) |
| Authorized Official Telephone | 7702796200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| PruittHealth Therapy Services - West Columbia | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811425671 | Pruitthealth Therapy Services, Inc. | Clinic/Center | 2310 Highway 378, Conway, SC 29527-4911 | 2017-05-24 |
| 1013152933 | Pruitthealth Therapy Services, Inc. | Clinic/Center | 2249 Vinson Highway, Milledgeville, GA 31061-4807 | 2008-12-05 |
| 1295263069 | Pruitthealth Therapy Services, Inc. | Clinic/Center | 420 W Farley Ave, Laurens, SC 29360-3039 | 2017-05-24 |
| 1679001440 | Pruitthealth Therapy Services, Inc. | Clinic/Center | 4520 Trenholm Rd, Columbia, SC 29206-4425 | 2017-05-24 |
| 1659809424 | Pruitthealth Therapy Services, Inc. | Clinic/Center | 5422 Augusta Rd, Lexington, SC 29072-3892 | 2017-05-24 |
| 1346778115 | Pruitthealth Therapy Services, Inc. | Clinic/Center | 990 Columbia Ave, Irmo, SC 29063-2884 | 2017-05-24 |
| 1720516594 | Pruitthealth Therapy Services, Inc. | Clinic/Center | 1785 Lexington Commons Dr, Rock Hill, SC 29732-3528 | 2017-05-24 |
| 1538697313 | Pruitthealth Therapy Services, Inc. | Clinic/Center | 1020 N Congress St, York, SC 29745-1351 | 2017-05-24 |
| 1528596384 | Pruitthealth Therapy Services, Inc. | Clinic/Center | 11951 Grandhaven Dr, Murrells Inlet, SC 29576-7843 | 2017-05-24 |
| Street Address |
2705 LEAPHART RD |
| City | WEST COLUMBIA |
| State | SC |
| Zip Code | 29169-3335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225081730 | Agape Therapy, Inc. | Physical Therapist | 2705 Leaphart Rd, West Columbia, SC 29169-3335 | 2006-05-18 |
| 1497122766 | Ashley Ford | Physical Therapy Assistant | 2705 Leaphart Rd, West Columbia, SC 29169-3335 | 2015-08-21 |
| 1407222904 | Fc Midlands West Columbia, LLC | Assisted Living Facility | 2705 Leaphart Rd, West Columbia, SC 29169-3335 | 2015-08-19 |
| 1003045303 | Agape Assisted Lliving, Inc. | Assisted Living Facility | 2705 Leaphart Rd, West Columbia, SC 29169-3335 | 2009-07-08 |
| 1871730515 | Michael Edward Golob | Occupational Therapist | 2705 Leaphart Rd, West Columbia, SC 29169-3335 | 2009-01-16 |
| 1225275969 | Melody T Mattox | Physical Therapy Assistant | 2705 Leaphart Rd, West Columbia, SC 29169-3335 | 2009-01-16 |
| 1558537381 | Agape Therapy Inc | Clinic/Center | 2705 Leaphart Rd, West Columbia, SC 29169-3335 | 2008-05-01 |
| 1669549291 | Ann Kenick Carlson | Physical Therapist | 2705 Leaphart Rd, Agape Therapy, West Columbia, SC 29169-3335 | 2006-11-29 |
| 1417024167 | Keli Lynn Mchale | Occupational Therapist | 2705 Leaphart Rd, Agape Therapy, West Columbia, SC 29169-3335 | 2006-11-29 |
| 1356438907 | Angie Lynn Winterstein | Physical Therapist | 2705 Leaphart Rd, West Columbia, SC 29169-3335 | 2006-10-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457960726 | Jerry Scott Oreilly | Physical Therapy Assistant | 100 Dreher Rd, Suite 100, West Columbia, SC 29169 | 2020-07-23 |
| 1134759921 | A&m Medical, LLC | Durable Medical Equipment & Medical Supplies | 1053 Sunset Boulevard, West Columbia, SC 29169 | 2020-01-21 |
| 1750946067 | First Physical Therapy, LLC | Clinic/Center | 100 Dreher Rd., Suite 100, West Columbia, SC 29169 | 2019-05-02 |
| 1295217545 | Tynaka Kwans Wilson | Nurse Practitioner | Sc House Calls Inc, 1053 Center Street, West Columbia, SC 29169 | 2018-09-04 |
| 1588183826 | Kimberly Jane Jennings | Registered Nurse | 1052 Center Street, Sc House Calls Inc, West Columbia, SC 29169 | 2017-09-19 |
| 1164943213 | Jacob Luke Wayland | Emergency Medicine | Lexington Medical Center-emergency Medicine Dept, 2720 Sunset Blvd, West Columbia, SC 29169 | 2017-06-29 |
| 1740721232 | Heather Detwiler | Physical Therapy Assistant | 2705 Leaphart Rd., Carolina Gardens, West Columbia, SC 29169 | 2017-03-16 |
| 1588110761 | Virginia I Hall | Nurse Practitioner | 2720 Susnet Blvd, West Columbia, SC 29169 | 2016-08-29 |
| 1215395744 | Stacey Khalifa | Social Worker | 160 Medical Cir Fl 1, West Columbia, SC 29169 | 2016-01-28 |
| 1407252331 | Sandy Frye Boone | Counselor | 2318 Sunset Blvd # 2a, West Columbia, SC 29169 | 2014-11-04 |
| Find all providers in zip 29169 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750946067 | First Physical Therapy, LLC | Clinic/Center | 100 Dreher Rd., Suite 100, West Columbia, SC 29169 | 2019-05-02 |
| 1487680682 | Therapeutic Interventions of South Carolina, Inc. | Clinic/Center | 103 Hospital Dr W, West Columbia, SC 29169-3405 | 2006-06-23 |
| 1346881323 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 125 State St Bldg 3, West Columbia, SC 29169-7557 | 2019-10-01 |
| 1558537381 | Agape Therapy Inc | Clinic/Center | 2705 Leaphart Rd, West Columbia, SC 29169-3335 | 2008-05-01 |
| 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 |
| 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 |
| 1659871986 | Cora South Carolina LLC | Clinic/Center | 474 Bypass 72 Nw Ste A, Greenwood, SC 29649-1404 | 2018-02-13 |
| Find all providers with the same taxonomy | ||||
| City | WEST COLUMBIA |
| Zip Code | 29169 |
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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.