Eastern Rehab Services LLC

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1008 Issued in SC

Legal business name

EASTERN REHAB SERVICES LLC

Practice address

1273 Remount Rd
North Charleston, SC 29406-3439

Phone

(843) 747-2888

Fax

(843) 747-2888

NPI assigned

May 17, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Ronald Kerry White

Title

Owner

Phone

(843) 200-1878

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 1

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

• James Noel Ligan Segarra

  • Physical Therapist
  • Goose Creek, SC
  • NPI 1912523382
  NPD

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642550400000",
    "number": "1245282391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1273 REMOUNT RD",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294063439",
            "telephone_number": "843-747-2888",
            "fax_number": "843-747-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1273 REMOUNT RD",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294063439",
            "telephone_number": "843-747-2888",
            "fax_number": "843-747-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN REHAB SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "KERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-200-1878",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "SC",
            "license": "1008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "consensus",
            "affiliation": "N",
            "address_1": "1273 Remount Rd",
            "city": "North Charleston",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294063439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Eagle Point Supplies, LLC
• Kelly L Earwood, MSN RN
• Victoria Easom, M.A., LPC
• Laurin Eason
• Shannon Easterling, LMSW
• Bryan Eberenz, PT, DPT, CERT. DN
• Eckerd Corporation
• Eckerd Corporation
• Danarica Mojica Eclevia
• Eden Home Care LLC

• Physical Therapy Assistant in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Physical Therapy Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; 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.