Pro Active Health & Wellness LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2861 Issued in SC

Legal business name

PRO ACTIVE HEALTH & WELLNESS LLC

Practice address

1000 Johnnie Dodds Blvd
Suite 105B
Mount Pleasant, SC 29464

Phone

(843) 388-8813

Fax

(843) 216-8870

NPI assigned

Nov 29, 2006

Organization subpart

No

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

Authorized official

Name

Andrew Colin Partridge, DCNPI 1780635763

Title

Owner President

Phone

(843) 388-3813

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Andrew C Partridge, D.C.

  • Chiropractor
  • Mount Pleasant, SC
  • NPI 1780635763
  NPD (past) Authorized official

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197244800000",
    "number": "1093882797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 JOHNNIE DODDS BLVD",
            "address_2": "SUITE 105B",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "29464",
            "telephone_number": "843-388-8813",
            "fax_number": "843-216-8870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 JOHNNIE DODDS BLVD",
            "address_2": "SUITE 105B",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "29464",
            "telephone_number": "843-388-8813",
            "fax_number": "843-216-8870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO ACTIVE HEALTH & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-12-10",
        "status": "A",
        "authorized_official_last_name": "PARTRIDGE",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "COLIN",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "843-388-3813",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH2861",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margaux Caroline Princi, PT
• Mark S Principe, PA-C
• Lauryn Prioleau, PHARMD
• Gabrielle Pritchett
• John Travis Pritchett, M.D.
• Proactive MD SC,P.a. (Proactive MD Mount Pleasant Health Center)
• Proactive Therapy of South Carolina Inc (Select Physical Therapy)
• Tammy Prockiw, PA
• Katherine C Proffer, FNP
• Progressive Physical Therapy, PA (Progressive Physical Therapy Mt. Pleasant)

• Chiropractor in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; 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.