Magnolia Network, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

3232 Issued in SC

Legal business name

MAGNOLIA NETWORK, LLC

Doing business as

Dillon Physical Tehrapy

Practice address

517 Radford Boulevard
Suite a
Dillon, SC 29536-2469

Phone

(843) 627-0121

Fax

(843) 627-0122

NPI assigned

Jan 12, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Michael Montes

Title

Physical Therapist

Phone

(843) 627-0121

Specialties & licenses 1

Addresses

Other names 1

• Dillon Physical Tehrapy Doing business as

Locations

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

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326326400000",
    "number": "1356611966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 RADFORD BOULEVARD",
            "address_2": "SUITE A",
            "city": "DILLON",
            "state": "SC",
            "postal_code": "295362469",
            "telephone_number": "843-627-0121",
            "fax_number": "843-627-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 RADFORD BOULEVARD",
            "address_2": "SUITE A",
            "city": "DILLON",
            "state": "SC",
            "postal_code": "295362469",
            "telephone_number": "843-627-0121",
            "fax_number": "843-627-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA NETWORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-12",
        "last_updated": "2012-01-12",
        "status": "A",
        "authorized_official_last_name": "MONTES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "843-627-0121",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "SC",
            "license": "3232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dillon Physical Tehrapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelsey Burk Loeliger, MD, PHD
• Love 4 You Home Health Service LLC
• Jason Briscoe Lowry Jr., RPH
• Shirley Chappell Mace, MEA CCC SLP
• Magnolia Medical Equipment and Supplies LLC
• Making a Difference Home Care Services LLC
• Latorya Fredericka Manning, LMT
• Christopher Kevin Markferding, FNP
• Beverly Tanya Mason, MSW
• Maud and Company Rehab Services Inc

• Physical Therapy Clinic/Center in Dillon, SC
• Providers in Dillon, 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 Jan 12, 2012; 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.