Beach Cowboy Fitness Foundation

Primary specialty

Recreation TherapistTaxonomy code 225800000X

Legal business name

BEACH COWBOY FITNESS FOUNDATION

Practice address

1200 Queensborough Blvd Ste B
Mount Pleasant, SC 29464-3191

Phone

(843) 438-4833

NPI assigned

Aug 18, 2023

Organization subpart

No

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

Authorized official

Name

Ms. Cynthia Wein Lett

Title

Executive Director Ceo

Phone

(843) 438-4833

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1692316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692316800000",
    "number": "1336923697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1625",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294651625",
            "telephone_number": "843-438-4833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 QUEENSBOROUGH BLVD STE B",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643191",
            "telephone_number": "843-438-4833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACH COWBOY FITNESS FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-18",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A",
        "authorized_official_last_name": "LETT",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "WEIN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR CEO",
        "authorized_official_telephone_number": "843-438-4833",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Recreation Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Recreation Therapist in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Recreation Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; 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.