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GREENVILLE PROAXIS THERAPY LLC NPI 1184160400


NPI Information

NPI: 1184160400
Provider Name: GREENVILLE PROAXIS THERAPY LLC

Doing Business As: ATI PHYSICAL THERAPY OF GREENVILLE

Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
210 VILLAGE CENTER BLVD
STE 100
MYRTLE BEACH, SC
ZIP 29579
Phone: (843) 249-5616
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GREENVILLE PROAXIS THERAPY LLC is a customized equipment durable medical equipment medical supplies in Myrtle Beach, SC. GREENVILLE PROAXIS THERAPY LLC NPI is 1184160400. The provider is registered as an organization entity type.
The provider Is Doing Business As Ati Physical Therapy Of Greenville.

The provider's business location address is:

210 VILLAGE CENTER BLVD
STE 100
MYRTLE BEACH, SC
ZIP 29579-706
Phone: (843) 249-5616
Fax: (843) 249-1843

The provider's authorized official is Lynn S Mcgivern .
The authorized official title is Chief Compliance Officer and has the following contact phone number (630) 296-2222.

The enumeration date for this NPI number is 1/10/2017 and was last updated on 1/10/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentYes

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: 4/28/2024

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