Its All Fun Therapy Services

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ITS ALL FUN THERAPY SERVICES

Practice address

1616 Rabon Farms LN
Columbia, SC 29223-5879

Phone

(803) 270-9556

NPI assigned

Jan 21, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Shanae L Davis, PTNPI 1053689075

Title

Physical Therapist / Manager

Phone

(803) 642-1974

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shanae L Davis, DPT

  • Physical Therapist
  • Columbia, SC
  • NPI 1053689075
  Medicare reassignment NPD Authorized official
• Candace Logans

  • Occupational Therapist
  • Columbia, SC
  • NPI 1699189605
  Medicare reassignment NPD
• Sherry Miranda Frishcosy

  • Occupational Therapy Assistant
  • Columbia, SC
  • NPI 1356131627
  NPD
• Melissa A McGuire

  • Physical Therapy Assistant
  • Columbia, SC
  • NPI 1306650957
  NPD
• Moesha Pauling, PTA

  • Physical Therapy Assistant
  • Columbia, SC
  • NPI 1942061759
  NPD

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

{
    "created_epoch": "1611187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613606400000",
    "number": "1144810375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 RABON FARMS LN",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292235879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 RABON FARMS LN",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292235879",
            "telephone_number": "803-270-9556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ITS ALL FUN THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-21",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "SHANAE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST / MANAGER",
        "authorized_official_telephone_number": "803-642-1974",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "itsallfuntherapy@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Company home office",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1616 Rabon Farms Ln",
            "city": "Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "292235879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Physical Therapist in Columbia, SC
• Providers in Columbia, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.