| Sprout Pediatrics Llc | |
|
108 Belfair Rd, Irmo, SC 29063-8040 | |
| (803) 361-6995 | |
| Not Available |
| Full Name | Sprout Pediatrics Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 108 Belfair Rd, Irmo, 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 |
|---|---|---|---|
| 1275899866 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2940 (South Carolina) | Primary |
| Provider Name | Rhyno Coetsee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477870806 PECOS PAC ID: 4981021706 Enrollment ID: I20200825002658 |
| Mailing Address | Practice Location Address |
|---|---|
| Sprout Pediatrics Llc 108 Belfair Rd, Irmo, SC 29063-8040 Ph: (803) 361-6995 | Sprout Pediatrics Llc 108 Belfair Rd, Irmo, SC 29063-8040 Ph: (803) 361-6995 |
Ashlyn Gardner, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7585 Saint Andrews Rd, Irmo, SC 29063 Phone: 803-749-5031 | |
Mrs. Rohini Grewal, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7182 Woodrow St Ste 102, Irmo, SC 29063 Phone: 803-749-0808 Fax: 803-749-0308 | |
Stephen Bendziewicz, DPT, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 206 Blackstone Dr, Irmo, SC 29063 Phone: 803-767-6361 | |
Progressive Physical Therapy, Pa Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1013 Lake Murray Blvd, Irmo, SC 29063 Phone: 803-602-0220 Fax: 803-781-7424 | |
Mr. Blake Litton Fletcher, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10071 Broad River Rd Ste B, Irmo, SC 29063 Phone: 803-445-1069 Fax: 803-445-1097 | |
Kelly Mack, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 107 Holly Creek Dr, Irmo, SC 29063 Phone: 803-749-1625 | |
Marisol Paige Ann Clark, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7467 Saint Andrews Rd, Suite 9, Irmo, SC 29063 Phone: 803-749-5031 Fax: 803-749-5032 |