| Quian Donald Carlisle, | |
|
4 Magnolia Glen Ln, Columbia, SC 29205-4278 | |
| (184) 324-6229 | |
| Not Available |
| Full Name | Quian Donald Carlisle |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 4 Magnolia Glen Ln, Columbia, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356086383 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 6172 (South Carolina) | Primary |
| Provider Name | The Weston Group Of South Carolina Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1073957064 PECOS PAC ID: 2062651185 Enrollment ID: O20130621000455 |
| Provider Name | Broad River Rehabilitation |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1902317589 PECOS PAC ID: 3375801350 Enrollment ID: O20240311001171 |
| Mailing Address | Practice Location Address |
|---|---|
| Quian Donald Carlisle, 4 Magnolia Glen Ln, Columbia, SC 29205-4278 Ph: (184) 324-6229 | Quian Donald Carlisle, 4 Magnolia Glen Ln, Columbia, SC 29205-4278 Ph: (184) 324-6229 |
Mr. Sergei Makhenzon, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: Sc House Calls Inc., 111 Doctors Cir., Columbia, SC 29203 Phone: 800-491-0909 | |
Mrs. Beth Johnson Reeves, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: Sc House Calls Inc, 111 Doctors Circle, Columbia, SC 29203 Phone: 800-491-0909 | |
Rhonda S Rush, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: Sc House Calls Inc, 111 Doctors Cir., Columbia, SC 29203 Phone: 800-491-0909 | |
Cynthia Lynne Hartman, OTR/L, NP Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6439 Garners Ferry Rd, Columbia, SC 29209 Phone: 803-776-4000 | |
Kasey Watson, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: Sc House Calls Inc., 111 Doctors Cir., Columbia, SC 29203 Phone: 800-491-0909 | |
Ms. Tonya Anne Johnson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1710 Richland St, B, Columbia, SC 29201 Phone: 803-253-6223 Fax: 803-253-6224 | |
Ms. Modestyne Yvonne Mason, OTR L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 S Highland Forest Dr, Columbia, SC 29203 Phone: 803-786-5949 |