Crescent Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

6954 Issued in SC

Legal business name

CRESCENT PHYSICAL THERAPY LLC

Practice address

1180 Boulevard Street
Suite D
Orangeburg, SC 29116

Phone

(803) 937-5489

Fax

(803) 937-5492

NPI assigned

Nov 10, 2014

Organization subpart

No

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

Authorized official

Name

Christopher Kilgus, DPT

Title

Physical Therapist

Phone

(803) 937-5489

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449619200000",
    "number": "1275939894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2909",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291162909",
            "telephone_number": "803-937-5489",
            "fax_number": "803-937-5492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 BOULEVARD STREET",
            "address_2": "SUITE D",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "29116",
            "telephone_number": "803-937-5489",
            "fax_number": "803-937-5492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-10",
        "last_updated": "2015-12-09",
        "status": "A",
        "authorized_official_last_name": "KILGUS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "803-937-5489",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "SC",
            "license": "6954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tasha Cowan, LMHC
• Ethan Crabtree, P.T.
• Anthony Tyronne Craft
• Devyn Craig, LPC
• Creating Opportunitites for Personal Enrichment
• Robert Mendenhall Cress
• Jennifer A. Crisp
• Leland D Cropper Jr., MD
• Robert Lincoln Crull, ATC
• Jerami Culbreath

• Physical Therapy Clinic/Center in Orangeburg, SC
• Providers in Orangeburg, SC by specialty
• Physical Therapy Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; 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.