Lowcountry Physical Therapy Associates LLC
Organization Active NPI Physical Therapist · Charleston, SC
NPI 1245303643 · NPPES record last updated Oct 12, 2007
Key facts
- NPI
- 1245303643
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- License
- 3876 (SC)
- Legal business name
- LOWCOUNTRY PHYSICAL THERAPY ASSOCIATES LLC
- Practice address
- 8 Farmfield Ave
Suite B
Charleston, SC 29407-7779 - Phone
- (843) 266-9200
- Fax
- (843) 266-9201
- NPI assigned
- Nov 16, 2006
- Organization subpart
- No
Authorized official
- Name
- Amanda Heyboer, M.P.T.
- Title
- Owner Physical Therapist
- Phone
- (843) 266-9200
Practitioners 5
-
Amanda Heyboer, M.P.T.
-
Thomas A Duc, MD
-
Frances Christine Murphy, P.T.
-
Ashley Cook, APRN
-
Marjorie Haas, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050509000146 | SC | Part B Supplier - Clinic/Group Practice | 0042250102 |
Receives reassigned benefits from 1 practitioner Practice locations: Charleston, SC |
National Provider Directory
Locations
8 Farmfield Ave
Ste B
Charleston, SC 29407
Phone (843) 266-9200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | 3876 | SC | Yes |
| Physical Therapist |
225100000X | 2183 | SC |
Addresses
Primary practice location
8 Farmfield Ave
Suite B
Charleston, SC 29407-7779
Mailing address
8 Farmfield Ave
Suite B
Charleston, SC 29407-7779
Phone (843) 266-9200
Other providers in Charleston, SC
- Lowcountry Medical Associates
- Lowcountry Nursing Group
- Lowcountry Nursing Group, LLC
- Lowcountry Oral Surgery
- Lowcountry Pediatric Therapy LLC
- Lowcountry Psychiatry Inc.
- Lowcountry Psychotherapy Associates, P.a.
- Lowcountry Radiation Oncology, PA
- Lowcountry Street Grocery
- Lowcountry Surgery Center
All providers in Charleston, SC · Physical Therapist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 12, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.