PREMIER PHYSICAL THERAPY NPI 1033181110

NPI Information

NPI: 1033181110
Provider Name: PREMIER PHYSICAL THERAPY
Classification: Clinic/Center - 261QR0401X
Entity Type: Organization

Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

Address:
2070 NORTHBROOK BLVD.
SUITE B6
NORTH CHARLESTON, SC
ZIP 29406
Phone: (843) 797-5167
Get Directions

PREMIER PHYSICAL THERAPY is a rehabilitation and comprehensive outpatient rehabilitation facility (corf) clinic center in North Charleston, SC. PREMIER PHYSICAL THERAPY NPI is 1033181110. The provider is registered as an organization entity type.

The provider's business location address is:

2070 NORTHBROOK BLVD.
SUITE B6
NORTH CHARLESTON, SC
ZIP 29406-252
Phone: (843) 797-5167
Fax: (843) 797-5723

The provider's authorized official is Jill M. Boorman .
The authorized official title is Clinical Director/owner and has the following contact phone number (843) 797-5167.

The enumeration date for this NPI number is 2/3/2006 and was last updated on 7/6/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0401X	Clinic/Center	Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)	=========	SOUTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	GP3587	MEDICAID	SOUTH CAROLINA
2	426627	MEDICARE ID-TYPE UNSPECIFIED	SOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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