| Prs 5, Llc | |
|
2676 Church St, Unit D-2, Conway, SC 29526-4471 | |
| (843) 733-3031 | |
| (843) 279-0189 |
| Full Name | Prs 5, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 2676 Church St, Conway, 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 |
|---|---|---|---|
| 1184027617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 3690 (South Carolina) | Primary |
| Provider Name | Brian P Kinmartin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730137506 PECOS PAC ID: 6901894138 Enrollment ID: I20040507000046 |
| Provider Name | Richard A Owens |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750331005 PECOS PAC ID: 9931108099 Enrollment ID: I20061219000142 |
| Provider Name | Richard A Defalco |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578693131 PECOS PAC ID: 0345334876 Enrollment ID: I20111025000000 |
| Provider Name | Kristen Marie Moeller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558617043 PECOS PAC ID: 3779718424 Enrollment ID: I20140501002024 |
| Provider Name | Jill F Phelan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760891881 PECOS PAC ID: 4385865161 Enrollment ID: I20141020001979 |
| Provider Name | Andrew S Roberts |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104155829 PECOS PAC ID: 7416086921 Enrollment ID: I20150319002753 |
| Provider Name | Lisa M Obrien |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558734517 PECOS PAC ID: 6305143975 Enrollment ID: I20160324002265 |
| Provider Name | Zachary Daniels |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144700444 PECOS PAC ID: 1658624549 Enrollment ID: I20181023001088 |
| Provider Name | Brandon M Stanley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558820472 PECOS PAC ID: 4880921006 Enrollment ID: I20190812001224 |
| Provider Name | Daniel J Staples |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033771357 PECOS PAC ID: 2961733282 Enrollment ID: I20191016003754 |
| Provider Name | Taylor M Dawley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164142386 PECOS PAC ID: 9638545387 Enrollment ID: I20221020000969 |
| Provider Name | Kayla Carlisle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629782594 PECOS PAC ID: 7315310943 Enrollment ID: I20230302000675 |
| Provider Name | Mackenzie G Thacker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235994161 PECOS PAC ID: 2860832615 Enrollment ID: I20240426003402 |
| Mailing Address | Practice Location Address |
|---|---|
| Prs 5, Llc Po Box 2397, Pawleys Island, SC 29585-2397 Ph: (843) 235-0200 | Prs 5, Llc 2676 Church St, Unit D-2, Conway, SC 29526-4471 Ph: (843) 733-3031 |
Atlantic Physical Therapy & Rehabilitation, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 162 Wacamaw Medical Court, Conway, SC 29526 Phone: 843-234-0015 | |
Katie Lorin Steiner, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 235 Singleton Ridge Rd Ste 102, Conway, SC 29526 Phone: 843-353-3460 Fax: 843-353-3461 | |
Joshua Hayden, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 Graduate Rd, Conway, SC 29526 Phone: 803-840-4438 | |
Justin Ricks, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 235 Singleton Ridge Rd Ste 102, Conway, SC 29526 Phone: 843-353-3460 | |
Kali Griffin, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3300 4th Ave, Conway, SC 29527 Phone: 843-248-5728 | |
Joseph Bryan Bullard, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 914 Norman St, Conway, SC 29526 Phone: 843-477-0177 Fax: 843-488-1289 |