Charleston Pediatric Rehabilitation Llc
Pediatrics
Charleston Pediatric Rehabilitation Llc is a Charleston, South Carolina based Pediatric center with medical specialization in
General Pediatrics.
It is located at
1407 Ashley River Rd, Charleston, South Carolina - 29407-5305. They can be contacted on phone at
843-769-0663 and fax number 843-769-0556.
NPI number (Unique professional ID) for Charleston Pediatric Rehabilitation Llc is
1932276805 which was assigned by NPPES on 29 Nov, 2006 and it was last updated on 22 Aug, 2020.
Charleston Pediatric Rehabilitation Llc is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Charleston Pediatric Rehabilitation Llc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Charleston Pediatric Rehabilitation Llc |
|---|
Business Address:
Charleston Pediatric Rehabilitation Llc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1407 Ashley River Rd
Charleston, SC, 29407-5305
United States |
|---|
| Phone Number : | 843-769-0663 |
|---|
| Fax Number : | 843-769-0556 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1932276805 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 29 Nov, 2006 |
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| Last Updated On : | 22 Aug, 2020 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Michael Coyle |
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| Authorized Official Credential : | OTRL |
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| Official Title or Position : | OWNER |
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| Phone Number : | 843-769-0663 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Charleston Pediatric Rehabilitation Llc are as mentioned. Primary taxonomy code for Charleston Pediatric Rehabilitation Llc is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | | |
| 225100000X | Physical Therapist | No | | |
| 225X00000X | Occupational Therapist | No | | |
| 235Z00000X | Speech-Language Pathologist | No | | |
Legacy Identifiers:
Other legacy medical identifiers of Charleston Pediatric Rehabilitation Llc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| GP3373 | MEDICAID | SC | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1407 Ashley River Rd
Charleston, SC, 29407-5305
United States |
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| Phone Number : | 843-769-0663 |
|---|
| Fax Number : | 843-769-0556 |
|---|
Business Location:
Patients can refer following map for directions to
Charleston Pediatric Rehabilitation Llc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.