| Imagine Physical Therapy On Daniel Island Llc | |
|
142 Sportsman Island Drice, Ste F, Charleston, SC 29492 | |
| (843) 377-8820 | |
| (843) 804-9020 |
| Full Name | Imagine Physical Therapy On Daniel Island Llc |
|---|---|
| Type | Facility |
| Speciality | Clinic/center - Physical Therapy |
| Location | 142 Sportsman Island Drice, Charleston, 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 |
|---|---|---|---|
| 1972770733 | NPI | - | NPPES |
| GP5119 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
| Provider Name | John A Mart |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144255167 PECOS PAC ID: 2668498601 Enrollment ID: I20051019000927 |
| Provider Name | Jamie L Kornegay |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881775286 PECOS PAC ID: 1951302793 Enrollment ID: I20090105000368 |
| Provider Name | Ryan P Hill |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679860647 PECOS PAC ID: 2365613015 Enrollment ID: I20110929000179 |
| Provider Name | Cassie Jo Mccandless |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912309303 PECOS PAC ID: 9830413111 Enrollment ID: I20150114001580 |
| Provider Name | Britta E Anderson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396125613 PECOS PAC ID: 7416262969 Enrollment ID: I20150813009840 |
| Provider Name | Wehme Pt Hutto |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619416336 PECOS PAC ID: 1759668809 Enrollment ID: I20170427002200 |
| Provider Name | Collin T Weyer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801324181 PECOS PAC ID: 4981976008 Enrollment ID: I20170823003266 |
| Provider Name | Joseph Timothy Schriver |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538683222 PECOS PAC ID: 4082980263 Enrollment ID: I20171017001658 |
| Provider Name | Taylor A Young |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144713892 PECOS PAC ID: 1951651017 Enrollment ID: I20180911002209 |
| Provider Name | Aaron Hennigan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891288205 PECOS PAC ID: 4486905445 Enrollment ID: I20181002000014 |
| Provider Name | Apsley Milford |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770107559 PECOS PAC ID: 5193121648 Enrollment ID: I20210908002397 |
| Provider Name | Samuel C Jackson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811511199 PECOS PAC ID: 2163820481 Enrollment ID: I20211018000258 |
| Provider Name | Macy Alexander |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1215684121 PECOS PAC ID: 6608262480 Enrollment ID: I20220404001084 |
| Provider Name | Emily Sligh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962141432 PECOS PAC ID: 2860875341 Enrollment ID: I20220816002140 |
| Provider Name | Victoria Conroy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730818923 PECOS PAC ID: 8527441013 Enrollment ID: I20220816002444 |
| Provider Name | Carl G Botero |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205564473 PECOS PAC ID: 8022494590 Enrollment ID: I20221006001613 |
| Provider Name | Katherine Kane |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952840266 PECOS PAC ID: 2163887159 Enrollment ID: I20230426001694 |
| Provider Name | Laurel Lee Museck |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407539257 PECOS PAC ID: 0345694972 Enrollment ID: I20230929001708 |
| Provider Name | Breland Green |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457034811 PECOS PAC ID: 2264972355 Enrollment ID: I20240904000379 |
| Provider Name | Brianna Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073357117 PECOS PAC ID: 6002356664 Enrollment ID: I20240910001280 |
| Provider Name | Ann Gordan Finney Mink |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992523849 PECOS PAC ID: 5092247007 Enrollment ID: I20241016000170 |
| Provider Name | Yiyun Hu |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780492249 PECOS PAC ID: 3274053947 Enrollment ID: I20250225001907 |
| Mailing Address | Practice Location Address |
|---|---|
| Imagine Physical Therapy On Daniel Island Llc Imagine Physical Therapy, 5111 North Rhett Avenue, North Charleston, SC 29405-4219 Ph: (843) 804-9077 | Imagine Physical Therapy On Daniel Island Llc 142 Sportsman Island Drice, Ste F, Charleston, SC 29492 Ph: (843) 377-8820 |