Triple Crown of Mt Pleasant LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

TRIPLE CROWN OF MT PLEASANT LLC

Practice address

999 Lake Hunter Cir
Suite B
Mt Pleasant, SC 29464-5427

Phone

(843) 388-3120

NPI assigned

Jul 20, 2013

Organization subpart

No

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

Authorized official

Name

Mark T Osborn

Title

Owner & Operator

Phone

(843) 388-3120

Specialties & licenses 1

Addresses

Other names 1

• ActiveRx of Mt Pleasant Doing business as

Locations

Practitioners 3

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

• Danielle Helene Licari, PT

  • Physical Therapist
  • Mt Pleasant, SC
  • NPI 1538501424
  NPD
• Michele A Mittelbronn, M.D.

  • Dermatology Physician
  • Mt Pleasant, SC
  • NPI 1790736312
  NPD (past)
• Allison Lee Cook, P.A.

  • Physician Assistant
  • Belle, WV
  • NPI 1659550887
  NPD (past)

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

{
    "created_epoch": "1374278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374278400000",
    "number": "1306288261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 LAKE HUNTER CIR",
            "address_2": "SUITE B",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294645427",
            "telephone_number": "843-388-3120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 LAKE HUNTER CIR",
            "address_2": "SUITE B",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294645427",
            "telephone_number": "843-388-3120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIPLE CROWN OF MT PLEASANT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-20",
        "last_updated": "2013-07-20",
        "status": "A",
        "authorized_official_last_name": "OSBORN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER & OPERATOR",
        "authorized_official_telephone_number": "843-388-3120"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ActiveRx of Mt Pleasant",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tri-County Early Intervention LLC
• Trident Medical Center, LLC
• Trident Pain Center, PA
• Trimed Services LLC
• Trimed Systems of the Midlands
• Melissa Tripp, PT
• Ryan Trout, PA-C
• Tracy Troutman, RPH
• Lila F Trussler, RPH
• Truthful Health LLC

• Physical Therapy Clinic/Center in Mt Pleasant, SC
• Providers in Mt Pleasant, 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 Jul 20, 2013; 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.