NPIMap

Organization Active NPI

Island Manual & Sports Physical Therapy, LLC

Doing business as Body Works

  • Physical Therapist
  • Hilton Head Island, SC
National Provider Identifier
1104145994
Registry record updated Nov 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4856 Issued in SC
Legal business name
ISLAND MANUAL & SPORTS PHYSICAL THERAPY, LLC
Doing business as
Body Works
Practice address
6 Outpost LN
Hilton Head Island, SC 29928-3802
Phone
(843) 686-4000
NPI assigned
May 19, 2010
Last updated
Nov 8, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2013

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

Authorized official

Name
Robert E Dayton, PT
Title
President
Phone
(843) 686-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 4856 SC Primary

Addresses

Primary practice location

6 Outpost LN
Hilton Head Island, SC 29928-3802

Mailing address

6 Outpost LN
Hilton Head Island, SC 29928-3802
Phone (843) 686-4000

Other names 1

  • Body Works Doing business as

National Provider Directory

National Provider Directory

Locations

2 Mathews Ct
Ste D
Hilton Head Island, SC 29926
Phone (631) 355-2120

2 Southwood Park Dr
Ste E
Hilton Head Island, SC 29926
Phone (843) 686-4000

NPI Registry JSON

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

{
    "created_epoch": "1274227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383868800000",
    "number": "1104145994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 OUTPOST LN",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299283802",
            "telephone_number": "843-686-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 OUTPOST LN",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299283802",
            "telephone_number": "843-686-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND MANUAL & SPORTS PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-19",
        "last_updated": "2013-11-08",
        "status": "A",
        "authorized_official_last_name": "DAYTON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-686-4000",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "4856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Body Works",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 8, 2013; 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.