Drayer Physical Therapy-South Carolina, LLC
Organization Active NPI Physical Therapist · Hilton Head, SC
NPI 1386076891 · NPPES record last updated Aug 7, 2013
Key facts
- NPI
- 1386076891
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- DRAYER PHYSICAL THERAPY-SOUTH CAROLINA, LLC
- Practice address
- 95 Mathews Dr
Ste D5
Hilton Head, SC 29926-3734 - Phone
- (843) 681-5640
- Fax
- (843) 681-5631
- NPI assigned
- Aug 7, 2013
- Organization subpart
- No
Authorized official
- Name
- Luke A Drayer
- Title
- Chairmand and Ceo
- Phone
- (717) 220-2100
Other NPIs on the same Medicare enrollment 12
Practitioners 2
-
Perry J Bonomo, MAPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20131004000553 | SC | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 7315171394 |
Receives reassigned benefits from 292 practitioners 12 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Irmo, SC; Lexington, SC; Elgin, SC; Columbia, SC; Chapin, SC; Cayce, SC; Camden, SC; Blythewood, SC |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
95 Mathews Dr
Ste D5
Hilton Head, SC 29926-3734
Mailing address
95 Mathews Dr
Ste D5
Hilton Head, SC 29926-3734
Phone (843) 681-5640
Other providers in Hilton Head, SC
- Desiree Francene Douchette
- Dr. Elaine Jeffers, LLC
- Dr. Thomas P Lenns, LLC
- Drayer Physical Therapy - South Carolina, LLC
- Drayer Physical Therapy Institute LLC
- Stephanie Driscoll
- Lasonya Eady
- Neva Leigh Edrington
- Jean Edwards
- Helen Croasdale Eichelsbacher
All providers in Hilton Head, SC · Physical Therapist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.