| Centrum Therapy Services | |
|
104 Mallory Dr, Goose Creek, SC 29445-6406 | |
| (843) 996-1471 | |
| (843) 808-6986 |
| Full Name | Centrum Therapy Services |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 104 Mallory Dr, Goose Creek, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396455515 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (NU) | Primary |
| 225X00000X | Occupational Therapist | (NU) | Secondary |
| Provider Name | Brian Ciaccia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851664171 PECOS PAC ID: 3072883495 Enrollment ID: I20170718002460 |
| Provider Name | Nicole Christine Koechell |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912461922 PECOS PAC ID: 4587903539 Enrollment ID: I20190308001717 |
| Provider Name | Kirby Broome |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558928523 PECOS PAC ID: 9638408651 Enrollment ID: I20190916003545 |
| Provider Name | Laura Elaine Gerber |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366053258 PECOS PAC ID: 8123446150 Enrollment ID: I20200908002497 |
| Provider Name | Nathaniel Kevin Prater |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013575968 PECOS PAC ID: 0941538573 Enrollment ID: I20220426003095 |
| Provider Name | Jillian Sandra Lawton |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356057699 PECOS PAC ID: 9133660129 Enrollment ID: I20240918000296 |
| Provider Name | Kyle Wayne Hopfensperger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649819301 PECOS PAC ID: 1658808720 Enrollment ID: I20241231002696 |
| Provider Name | Heidi Marie Hoffman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336252378 PECOS PAC ID: 8820220346 Enrollment ID: I20250313000373 |
| Provider Name | Ryan Michael Singletary |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700738812 PECOS PAC ID: 5890276786 Enrollment ID: I20260227003453 |
| Mailing Address | Practice Location Address |
|---|---|
| Centrum Therapy Services Po Box 1119, Goose Creek, SC 29445-1119 Ph: (843) 996-1471 | Centrum Therapy Services 104 Mallory Dr, Goose Creek, SC 29445-6406 Ph: (843) 996-1471 |
Nathaniel Kevin Prater, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 104 Mallory Dr, Goose Creek, SC 29445 Phone: 843-996-1471 Fax: 843-808-6986 |
Emily Sage Carrell, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 209 Saint James Ave, Goose Creek, SC 29445 Phone: 843-793-4466 |
Tori Lynn Darling, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 110 Naval Nuclear Training Command Circle, Goose Creek, SC 29445 Phone: 843-794-6400 Fax: 438-794-6997 |
Richard Austin Mcphail, PT, DPT, OCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 209 Saint James Ave Unit B2, Goose Creek, SC 29445 Phone: 843-793-4466 Fax: 843-793-3786 |
Sydney Grace Laing, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 104 Mallory Dr, Goose Creek, SC 29445 Phone: 843-996-1471 Fax: 843-808-6986 |
Jeffrey Thomas Noelcke, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 214 Saint James Ave, Goose Creek, SC 29445 Phone: 843-793-4466 |
Joseph Styron, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 514 Saint James Ave Unit G, Goose Creek, SC 29445 Phone: 843-642-8660 |