| John Bursch, | |
|
300 Midtown Dr, Beaufort, SC 29906-5200 | |
| (843) 521-1747 | |
| Not Available |
| Full Name | John Bursch |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 300 Midtown Dr, Beaufort, 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 |
|---|---|---|---|
| 1215044474 | NPI | - | NPPES |
| 1288 | Other | SC | LICENSE # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Tidal Creek Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1598358954 PECOS PAC ID: 4587073671 Enrollment ID: O20220110000754 |
| Mailing Address | Practice Location Address |
|---|---|
| John Bursch, 345 Cottage Farm Dr, Beaufort, SC 29902-5971 Ph: (343) 522-9914 | John Bursch, 300 Midtown Dr, Beaufort, SC 29906-5200 Ph: (843) 521-1747 |
Brian Esterle, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1076 Ribaut Rd Ste 100, Beaufort, SC 29902 Phone: 843-379-0836 | |
Raymond Cross, PT DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Pinckney Blvd, Beaufort, SC 29902 Phone: 843-228-1318 | |
Michael Wayne Twitty, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1076 Ribaut Rd Ste 102, Beaufort, SC 29902 Phone: 843-521-1970 Fax: 843-521-0908 | |
Michael George Konoza, MSPT, ATC Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 1076 Ribaut Rd, Suite102, Beaufort, SC 29902 Phone: 843-521-1970 Fax: 843-521-0908 | |
Thomas Alexander Sehon, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2121 Boundary St Ste 200, Beaufort, SC 29902 Phone: 843-524-4778 Fax: 843-524-4779 | |
Nicholas Dye, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1076 Ribaut Rd Ste 102, Beaufort, SC 29902 Phone: 843-892-5138 | |
Jessica Danielle Mcgarvey, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Pinckney Blvd, Beaufort, SC 29902 Phone: 843-228-5473 |