NPIMap

Organization Active NPI

Hope Life and Rehabilitation Center, LLC

  • Physical Therapist
  • Hilton Head Island, SC
National Provider Identifier
1053837112
Registry record updated Jan 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4852 Issued in SC
Legal business name
HOPE LIFE AND REHABILITATION CENTER, LLC
Practice address
60 Main St Unit G
Hilton Head Island, SC 29926-6603
Phone
(843) 715-4146
Fax
(843) 715-4673
NPI assigned
Aug 20, 2017
Last updated
Jan 31, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Dennis Richard Ittenbach, PTNPI 1548360472
Title
Sole MBR
Phone
(843) 715-4146

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4852 SC Primary

Addresses

Primary practice location

60 Main St Unit G
Hilton Head Island, SC 29926-6603

Mailing address

60 Main St Unit G
Hilton Head Island, SC 29926-6603
Phone (843) 715-4146

Other identifiers 1

IdentifierTypeStateIssuer
1548360472MedicaidSC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1503187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517356800000",
    "number": "1053837112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 MAIN ST UNIT G",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299266603",
            "telephone_number": "843-715-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 MAIN ST UNIT G",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299266603",
            "telephone_number": "843-715-4146",
            "fax_number": "843-715-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE LIFE AND REHABILITATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-20",
        "last_updated": "2018-01-31",
        "status": "A",
        "authorized_official_last_name": "ITTENBACH",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "843-715-4146",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "4852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1548360472",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilton Head Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.