Ian Patrick Orr, DC
Individual provider Active NPI Chiropractor · Tega Cay, SC
NPI 1033707625 · NPPES record last updated Feb 24, 2021
Key facts
- NPI
- 1033707625
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 4622 (SC)
- Practice address
- 1149 Stonecrest Blvd Ste 106
Tega Cay, SC 29708-6604 - Phone
- (704) 281-2849
- NPI assigned
- Jan 8, 2021
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Collective Chiropractic LLC
Practice addresses (Care Compare)
1149 Stonecrest Blvd
Suite 106
Tega Cay, SC 29708-6604
Phone (704) 281-2849
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210416001959 | SC | Practitioner - Chiropractic | 8224446984 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4622 | SC | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Collective Chiropractic LLC | Chiropractor | Current |
Accepting new patients |
Locations
1149 Stonecrest Blvd
Ste 106
Tega Cay, SC 29708
Phone (704) 281-2849
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4622 | SC | Yes |
Addresses
Primary practice location
1149 Stonecrest Blvd Ste 106
Tega Cay, SC 29708-6604
Mailing address
1017 Raleigh RDG Apt 306
Fort Mill, SC 29708-0807
Phone (704) 281-2849
Other practice location 1
1017 Raleigh Rdg Apt 306
Fort Mill, SC 29708-0807
Phone (704) 281-2849
Other practice location 2
547 Folly Rd
Charleston, SC 29412-3007
Phone (843) 640-3224
Other providers in Tega Cay, SC
- Richelle Muhlenkamp
- Alexis Rose Muttillo
- Naskal Transportation LLC
- Brittaney Nicole Nealis
- Omara Health and Wellness
- Kristen Packard
- Samir Dilip Patel
- Marcia Marie Patete
- Jenny Petrenko
- Kimberly Kay Philbrick
All providers in Tega Cay, SC · Chiropractor in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.