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HOLY CITY PEDIATRIC THERAPY LLC NPI 1841861176


NPI Information

NPI: 1841861176
Provider Name: HOLY CITY PEDIATRIC THERAPY, LLC
Classification: Physical Therapist - 2251P0200X
Entity Type: Organization

Specialization: Pediatrics

Address:
2103 SEWEE INDIAN CT
MT PLEASANT, SC
ZIP 29466
Phone: (423) 388-8311
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HOLY CITY PEDIATRIC THERAPY, LLC is a pediatrics physical therapist in Mt Pleasant, SC. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given. HOLY CITY PEDIATRIC THERAPY, LLC NPI is 1841861176. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2103 SEWEE INDIAN CT
MT PLEASANT, SC
ZIP 29466-054
Phone: (423) 388-8311

The provider's authorized official is Dustin Tolley .
The authorized official title is Owner and has the following contact phone number (423) 388-8311.

The enumeration date for this NPI number is 7/7/2021 and was last updated on 7/23/2021.


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
12251P0200XPhysical TherapistPediatricsYes
2225XP0200XOccupational TherapistPediatricsNo
3235Z00000XSpeech-Language PathologistNo

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: 5/5/2024

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