Lowcountry Rehab

Primary specialty

SpecialistTaxonomy code 174400000X

License

21659 Issued in SC

Legal business name

LOWCOUNTRY REHAB

Practice address

103 3Rd St E
Hampton, SC 29924-2511

Phone

(803) 943-3914

Fax

(803) 943-5131

NPI assigned

Feb 7, 2007

Last updated

Sep 12, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rachel Pendarvis Wiggins, PT, MHSNPI 1538205083

Title

Clinical Director

Phone

(803) 943-3914

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rachel Pendarvis Wiggins, PT, MHS

  • Specialist
  • Hampton, SC
  • NPI 1538205083
  NPD Authorized official

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347408000000",
    "number": "1245370725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 3RD ST E",
            "city": "HAMPTON",
            "state": "SC",
            "postal_code": "299242511",
            "telephone_number": "803-943-3914",
            "fax_number": "803-943-5131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 3RD ST E",
            "city": "HAMPTON",
            "state": "SC",
            "postal_code": "299242511",
            "telephone_number": "803-943-3914",
            "fax_number": "803-943-5131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWCOUNTRY REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2012-09-12",
        "status": "A",
        "authorized_official_last_name": "WIGGINS",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "PENDARVIS",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "803-943-3914",
        "authorized_official_credential": "PT, MHS"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "SC",
            "license": "21659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP2069",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tony Jacobs
• JCW Solutions LLC (Crews & Mills Dental Associates)
• Katie Cutie Inc.
• Katie M Krise, PHARM D
• Latasha Levant
• Robert T McNamara Jr.
• Mobile Therapy
• Carlos E Montenegro, MD
• New Life Center Commission on Alcohol & Other Drug Abuse (DAODAS New Life Center)
• Julien Van Nguyen, PHARMD

• Specialist in Hampton, SC
• Providers in Hampton, SC by specialty
• Specialist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; 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.