| Carson Castor, | |
|
201 Brightwater Dr, Myrtle Beach, SC 29579-8298 | |
| (843) 236-3579 | |
| Not Available |
| Full Name | Carson Castor |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapy |
| Experience | 6 Years |
| Location | 201 Brightwater Dr, Myrtle Beach, South Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962065201 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 5388 (South Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Creative Health Care Management Llc | 4385929892 | 107 |
| Empowerme Rehabilitation Llc | 2769723162 | 253 |
| Provider Name | Creative Health Care Management Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1407463128 PECOS PAC ID: 4385929892 Enrollment ID: O20201116000484 |
| Provider Name | Empowerme Rehabilitation Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1902476633 PECOS PAC ID: 2769723162 Enrollment ID: O20211221000619 |
| Mailing Address | Practice Location Address |
|---|---|
| Carson Castor, 2840 Choppee Rd, Georgetown, SC 29440-7270 Ph: () - | Carson Castor, 201 Brightwater Dr, Myrtle Beach, SC 29579-8298 Ph: (843) 236-3579 |
Kel Z Gaskin Prock, MSR, OTR L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3603 Kingsley Dr, Myrtle Beach, SC 29588 Phone: 843-424-5450 | |
Shannon Southerland, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5000 Highway 17 Byp S, Myrtle Beach, SC 29588 Phone: 843-252-0033 | |
Carrie Deluca, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 2200 Crow Ln Ste 201, Myrtle Beach, SC 29577 Phone: 843-848-5001 | |
Dorothy Gregory, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3620 Happy Woods Ct, Myrtle Beach, SC 29588 Phone: 843-293-2246 | |
Jacqueline Gibbons, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 3799 Cape Landing Cir Apt C, Myrtle Beach, SC 29588 Phone: 845-313-2012 | |
Gabrielle Marrero, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4761 Highway 501 Ste 1, Myrtle Beach, SC 29579 Phone: 843-455-7505 | |
Alayna K Cline, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 109 Mountain Ash Ln Unit C, Myrtle Beach, SC 29579 Phone: 843-575-8768 |