East Cooper Wellness

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

License

23765 Issued in SC

Legal business name

EAST COOPER WELLNESS

Practice address

1965 Riviera Dr
Mt Pleasant, SC 29464-7469

Phone

(843) 571-3100

Fax

(843) 766-7798

NPI assigned

Jul 10, 2014

Organization subpart

Yes

Parent organization

WEST ASHLEY WELLNESS & REHABILITATION, LLCAs reported in NPPES

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

Authorized official

Name

Karen Luckie

Title

Office Manager

Phone

(843) 571-3100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• EAST COOPER WELLNESS Doing business as

Tax ID family

East Cooper Wellness2 organizations share this tax ID, including this one

Part of

East Cooper Wellness

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Walterboro Wellness, LLC

  • Rehabilitation Practitioner
  • Walterboro, SC
  • NPI 1861808891
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• West Ashley Wellness & Rehabilitation, LLC

  • Rehabilitation Practitioner
  • Charleston, SC
  • NPI 1962726117
  NPPES parent name

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

{
    "created_epoch": "1404950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410393600000",
    "number": "1255747283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3741 TIDELAND DR",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294557456",
            "telephone_number": "843-425-4694",
            "fax_number": "843-766-7798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1965 RIVIERA DR",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294647469",
            "telephone_number": "843-571-3100",
            "fax_number": "843-766-7798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST COOPER WELLNESS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WEST ASHLEY WELLNESS & REHABILITATION, LLC",
        "enumeration_date": "2014-07-10",
        "last_updated": "2014-09-11",
        "status": "A",
        "authorized_official_last_name": "LUCKIE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "843-571-3100"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": "SC",
            "license": "23765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FOR WEST ASHLEY WELLNESS & REHABILITATION, LLC",
            "identifier": "1962726117",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EAST COOPER WELLNESS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• East Cooper Psychiatric Solutions, LLC
• East Cooper Rheumatology, PA
• East Cooper Senior Day Care, LLC
• East Cooper Surgical Associates William H Stroud Jr
• East Cooper Surgical Associates, LLC
• Eat Talk Play
• Kathleen Eaton, PT
• Lindsay Winchester Eaves, MA
• Brianna Eberl, OTR/L
• Wendy Edgin

• Rehabilitation Practitioner in Mt Pleasant, SC
• Providers in Mt Pleasant, SC by specialty
• Rehabilitation Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2014; 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.