Ian Scollins, PT, DPT, ATC | |
420 South Herlong Ave, Suite 104, Rock Hill, SC 29732-1091 | |
(839) 274-3013 | |
(839) 274-3014 |
Full Name | Ian Scollins |
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Gender | Male |
Speciality | Physical Therapist |
Location | 420 South Herlong Ave, 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 |
---|---|---|---|
1396177234 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 8663 (South Carolina) | Primary |
Provider Name | Jag28 Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1801655832 PECOS PAC ID: 1658811252 Enrollment ID: O20240910002972 |
Mailing Address | Practice Location Address |
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Ian Scollins, PT, DPT, ATC 1446 Porch Wisdom Ct, Fort Mill, SC 29708-0266 Ph: () - | Ian Scollins, PT, DPT, ATC 420 South Herlong Ave, Suite 104, Rock Hill, SC 29732-1091 Ph: (839) 274-3013 |
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 |