Active NPI
Carleen Bland, PT
- Physical Therapy Clinic/Center
- North Charleston, SC
National Provider Identifier
1174343214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 1361
- Practice address
- 3300 W Montague Ave Ste 219
North Charleston, SC 29418-7916 - Phone
- (843) 442-0480
- NPI assigned
- Oct 14, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 1361 | SC | Primary |
Addresses
Primary practice location
3300 W Montague Ave Ste 219
North Charleston, SC 29418-7916
Mailing address
469 Thoroughbred Dr
Moncks Corner, SC 29461-6891
Phone (843) 442-0480
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728864000000",
"number": "1174343214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "469 THOROUGHBRED DR",
"city": "MONCKS CORNER",
"state": "SC",
"postal_code": "294616891",
"telephone_number": "843-442-0480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 W MONTAGUE AVE STE 219",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294187916",
"telephone_number": "843-442-0480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAND",
"first_name": "CARLEEN",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-14",
"last_updated": "2024-10-14",
"certification_date": "2024-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "SC",
"license": "1361",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.