ELEVATED PHYSICAL THERAPY LLC


Address: 44 Markfield Dr Ste B, Charleston, SC 29407-7908
Phone: 8433641747

ELEVATED PHYSICAL THERAPY LLC (NPI# 1861964520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861964520
Entity Type Organization
Organization Name ELEVATED PHYSICAL THERAPY LLC
Practice Address 44 Markfield Dr Ste B
Charleston
SC 29407-7908
Mailing Address 2347 Tall Sail Dr Apt L
Charleston
SC 29414-6639
Practice Telephone 8433641747
Mailing Telephone 8433641747
Enumeration Date 2018-12-19
Last Update Date 2018-12-19
Authorized Official Name TRACEY LEANN MANASCO (PHYSICAL THERAPIST)
Authorized Official Telephone 8433641747
Authorized Official Credential PT
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2000X Clinic/Center
Specialization: Physical Therapy
Ambulatory Health Care Facilities

Office Location

Street Address 44 MARKFIELD DR STE B
City CHARLESTON
State SC
Zip Code 29407-7908

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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
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Taxonomy Information

Taxonomy Code 261QP2000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Physical Therapy

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477197945 Greene Physical Therapy LLC Clinic/Center 824 Farnham Rd, Charleston, SC 29412-4806 2019-10-29
1275022568 Uxl Physical Therapy and Wellness Services LLC Clinic/Center 13 Fieldfare Way, Charleston, SC 29414-6933 2018-05-02
1568959864 Made 2 Move Clinic/Center 115 Pier View Street Daniel Island, Sc 2942, 866-447-9721, Charleston, SC 29492-2949 2018-04-23
1093202665 First Settlement Physical Therapy Clinic/Center 1001 Bridge Rd, Charleston, WV 25314-1305 2018-04-18
1932580065 Dpt, Inc Clinic/Center 5510 Maccorkle Ave Se, Charleston, WV 25304 2015-06-15
1972910529 Charleston Therapeutic Yoga Clinic/Center 2877 Doncaster Dr, Charleston, SC 29414-6737 2014-07-15
1619000726 Therapy Centers of South Carolina, P.a. Clinic/Center 4115 Dorchester Road, Suite 100, Charleston, SC 29405 2007-03-14
1295751378 Matrix Rehabilitation South Carolina, Inc. Clinic/Center 11 Gamecock Ave, Suite 1103, Charleston, SC 29407-3380 2006-07-14
1932144540 Charleston Physical Therapy Practice Pa Clinic/Center 1730b Savannah Hwy, Charleston, SC 29407-6255 2006-06-18
1306890579 Pediatric Physical Therapy, PC Clinic/Center 1319 Savannah Hwy, Suite D, Charleston, SC 29407-7848 2006-05-20
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Competitor

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City CHARLESTON
Zip Code 29407

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Dataset Information

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.

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