Pediatric Physical Therapy, PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

505 Issued in SC

Legal business name

PEDIATRIC PHYSICAL THERAPY, PC

Practice address

1319 Savannah Hwy
Suite D
Charleston, SC 29407-7848

Phone

(843) 769-7773

Fax

(843) 329-4043

NPI assigned

May 20, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Marsha Cotter Callahan, PTNPI 1053574814

Title

President

Phone

(843) 769-7773

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Marsha C. Callahan, PT

  • Pediatric Physical Therapist
  • Charleston, SC
  • NPI 1053574814
  NPD (past) Authorized official

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306890579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 SAVANNAH HWY",
            "address_2": "SUITE D",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077848",
            "telephone_number": "843-769-7773",
            "fax_number": "843-329-4043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 SAVANNAH HWY",
            "address_2": "SUITE D",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077848",
            "telephone_number": "843-769-7773",
            "fax_number": "843-329-4043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CALLAHAN",
        "authorized_official_first_name": "MARSHA",
        "authorized_official_middle_name": "COTTER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-769-7773",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "SC",
            "license": "505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wesley Peck
• Richard Wesley Pectol III, MD
• Samantha Jo Pecunes, APRN, FNP-C
• Leif D Pedersen, RPH
• Emily Pedevillano
• Blair L Peeples, OT
• Lance Robert Peeples, MPT
• Sarah Nicole Peglow, PA-C
• Daravuth Khem Pel, MD
• Christine M Pelic, MD

• Physical Therapy Clinic/Center in Charleston, SC
• Providers in Charleston, 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 Aug 22, 2020; 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.