| Donald Niedringhaus, | |
|
1317 Ebenezer Rd, Rock Hill, SC 29732-2336 | |
| (803) 207-8177 | |
| Not Available |
| Full Name | Donald Niedringhaus |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1317 Ebenezer Rd, Rock Hill, 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 |
|---|---|---|---|
| 1437510955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 858 (South Carolina) | Primary |
| Provider Name | Revo Rehab, Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1598272684 PECOS PAC ID: 6608138847 Enrollment ID: O20180327002862 |
| Provider Name | Shavan, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1881196186 PECOS PAC ID: 7214291145 Enrollment ID: O20210716001913 |
| Mailing Address | Practice Location Address |
|---|---|
| Donald Niedringhaus, 1624 Main Street, Columbia, SC 29201 Ph: () - | Donald Niedringhaus, 1317 Ebenezer Rd, Rock Hill, SC 29732-2336 Ph: (803) 207-8177 |
Tammy C Gantzer, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 134 Professional Park Drive, Rock Hill, SC 29732 Phone: 803-329-4685 Fax: 803-329-4683 | |
Zachary Titus Berg, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1915 Ebenezer Rd, Rock Hill, SC 29732 Phone: 803-366-8155 | |
Michael Arcidiacono, PT, DPT, ATC Physical Therapist Medicare: Medicare Enrolled Practice Location: 154 Amendment Ave, Rock Hill, SC 29732 Phone: 803-366-9990 Fax: 803-366-9960 | |
Amanda Borth, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 1525 Celanese Rd Ste 113, Rock Hill, SC 29732 Phone: 803-366-8243 Fax: 803-366-8245 | |
Kathy Z Dorton, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2156 Olde Creek Rd, Rock Hill, SC 29732 Phone: 803-324-5846 Fax: 803-324-5846 | |
Mrs. Carole Barber Tiedeman, PT PHYSICAL THERAPIS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1169 Ebenezer Rd Ste C, Rock Hill, SC 29732 Phone: 803-324-5370 Fax: 803-324-7650 | |
Rachel Colleen Ruel, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2460 India Hook Rd Ste 107, Rock Hill, SC 29732 Phone: 803-658-4073 Fax: 803-329-1696 |