PATTISONS D R E A M ACADEMY (NPI# 1861678534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861678534 |
| Entity Type | Organization |
| Organization Name | PATTISONS D R E A M ACADEMY |
| Practice Address |
721 Wappoo Rd Charleston SC 29407-5861 |
| Mailing Address |
Po Box 80426 Charleston SC 29416-0426 |
| Practice Telephone | 8434027850 |
| Practice Fax Number | 8434027850 |
| Mailing Telephone | 8434027850 |
| Mailing Fax Number | 8434027851 |
| Enumeration Date | 2008-01-12 |
| Last Update Date | 2020-07-14 |
| Authorized Official Name | MRS. SLOAN COOPER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8438496707 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP4825-1861678535 | 05 |
| Street Address |
721 WAPPOO RD |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29407-5861 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285296988 | Kimberly Suzanne Demichele | Licensed Practical Nurse | 721 Wappoo Rd, Charleston, SC 29407-5861 | 2019-07-02 |
| 1922596048 | Dawn Michelle Crowley | Registered Nurse | 721 Wappoo Rd, Charleston, SC 29407-5861 | 2018-04-24 |
| 1851769855 | Mary Elizabeth Beirne | Physical Therapy Assistant | 721 Wappoo Rd, Charleston, SC 29407-5861 | 2015-09-08 |
| 1609242338 | Collette Wade Doe | Physical Therapist | 721 Wappoo Rd, Charleston, SC 29407-5861 | 2015-08-17 |
| 1922443787 | Robert D Naugle | Registered Nurse | 721 Wappoo Rd, Charleston, SC 29407-5861 | 2013-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437763661 | Charleston Jaw Surgery | Oral & Maxillofacial Surgery | 846 St. Andrews Blvd., Charleston, SC 29407 | 2020-09-04 |
| 1780225128 | New Endeavors Counseling | Social Worker | 1 Carriage Lane Building E Suite 202, Charleston, SC 29407 | 2019-10-07 |
| 1770063158 | Katelyn Campbell | Psychologist | 1 Carriage Ln Ste 102, Charleston, SC 29407 | 2018-08-15 |
| 1164929956 | Anisha Gulati Md LLC | Psychiatry & Neurology | 925 Wappoo Rd., Suite F, Charleston, SC 29407 | 2018-04-09 |
| 1316459753 | David W Richardson | Dentist | 765 St. Andrews Blvd., Charleston, SC 29407 | 2017-10-25 |
| 1457874174 | Meca Mentality LLC | Chiropractor | 1106 St Andrews Blvd Suite A, Charleston, SC 29407 | 2017-07-25 |
| 1639609373 | Carolina Behavioral Specialists, LLC | Behavioral Analyst | 1529 Sam Rittenberg Blvd, Unit 1-b, Charleston, SC 29407 | 2017-06-15 |
| 1467991901 | Bernice Ladson | Registered Nurse | 75o Magnolia Road, Charleston, SC 29407 | 2017-02-16 |
| 1376991257 | Virginia Leigh Thomason | Counselor | 29 Leinbach Dr, Suite D2, Charleston, SC 29407 | 2016-06-01 |
| 1609221001 | Elinor Lee Smith | Counselor | 571 Savannah Hwy, Charleston, SC 29407 | 2016-05-04 |
| Find all providers in zip 29407 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750903621 | Rehabcare Group East, LLC | Clinic/Center | 738 18th St, Charleston, IL 61920-2472 | 2020-05-13 |
| 1437275328 | The Carle Foundation Hospital | Clinic/Center | 5731 Park Dr, Charleston, IL 61920-9466 | 2007-03-22 |
| 1023098753 | Phc Rehab, Inc. | Clinic/Center | 1313 Ashley River Rd, Charleston, SC 29407-5315 | 2006-01-19 |
| 1528483823 | Lowcountry Developmental Therapy | Clinic/Center | 6 Franklin St, Charleston, SC 29401-1910 | 2014-02-23 |
| 1922183235 | Clemson Sports Medicine and Rehabilitation | Clinic/Center | 1483 Tobias Gadson Blvd, Suite 106, Charleston, SC 29407-8702 | 2006-10-26 |
| 1679658785 | Clemson Sports Medicine and Rehabilitation | Clinic/Center | 3185 Azalea Dr, Charleston, SC 29405-8211 | 2006-10-26 |
| 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 |
| 1750946067 | First Physical Therapy, LLC | Clinic/Center | 100 Dreher Rd., Suite 100, West Columbia, SC 29169 | 2019-05-02 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | CHARLESTON |
| Zip Code | 29407 |
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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.