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CHARLESTON CHILDREN'S THERAPY CENTER LLC NPI 1427093749


NPI Information

NPI: 1427093749
Provider Name: CHARLESTON CHILDREN'S THERAPY CENTER, LLC
Classification: Physical Therapist - 2251P0200X
Entity Type: Organization

Specialization: Pediatrics

Address:
9225 UNIVERSITY BLVD
STE. E2C
NORTH CHARLESTON, SC
ZIP 29406
Phone: (843) 569-4546
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CHARLESTON CHILDREN'S THERAPY CENTER, LLC is a pediatrics physical therapist in North Charleston, 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. CHARLESTON CHILDREN'S THERAPY CENTER, LLC NPI is 1427093749. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9225 UNIVERSITY BLVD
STE. E2C
NORTH CHARLESTON, SC
ZIP 29406-149
Phone: (843) 569-4546
Fax: (843) 569-4535

The provider's authorized official is Charlene Durham .
The authorized official title is Co-owner/manager and has the following contact phone number (843) 569-4546.

The enumeration date for this NPI number is 6/19/2006 and was last updated on 11/9/2016.


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
1225XP0200XOccupational TherapistPediatricsNo
2235Z00000XSpeech-Language PathologistNo
32251P0200XPhysical TherapistPediatricsYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GP3928MEDICAIDSOUTH 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: 4/28/2024

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