Charleston Orthopedics and Sports Performance LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

CHARLESTON ORTHOPEDICS AND SPORTS PERFORMANCE LLC

Practice address

3401 Salterbeck St Ste 104
Mount Pleasant, SC 29466-7168

Phone

(843) 364-7206

NPI assigned

May 23, 2022

Organization subpart

No

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

Authorized official

Name

Stephen CorreiaNPI 1740296003

Title

Owner/PT

Phone

(843) 364-7206

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 1

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

• Stephen Correia, PT PHYSICAL THERAPY

  • Physical Therapist
  • Mt Pleasant, SC
  • NPI 1740296003
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1653264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672963200000",
    "number": "1386382000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 CROWN REACH",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294667921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 SALTERBECK ST STE 104",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294667168",
            "telephone_number": "843-364-7206"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 Pitt St",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "SC",
            "postal_code": "294645319",
            "country_code": "US",
            "telephone_number": "843-364-7206",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1321 Crown Reach",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "SC",
            "postal_code": "294667921",
            "country_code": "US",
            "telephone_number": "843-364-7206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHARLESTON ORTHOPEDICS AND SPORTS PERFORMANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-23",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A",
        "authorized_official_last_name": "CORREIA",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER/PT",
        "authorized_official_telephone_number": "843-364-7206"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Charleston Seniors, LLC

• All providers in Mount Pleasant, SC
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.