NPIMap

Organization Active NPI

Pro-Motion Physical Therapy of Camden, SC, LLC

  • Physical Therapist
  • Camden, SC
National Provider Identifier
1427630284
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PRO-MOTION PHYSICAL THERAPY OF CAMDEN, SC, LLC
Practice address
301 E Dekalb St Ste B
Camden, SC 29020-4495
Phone
(803) 432-2432
Fax
(803) 432-1779
NPI assigned
Apr 22, 2021
Last updated
Apr 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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

Authorized official

Name
Savannah Howard
Title
Executive Administrator
Phone
(803) 432-2432

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

301 E Dekalb St Ste B
Camden, SC 29020-4495

Mailing address

301 E Dekalb St Ste B
Camden, SC 29020-4495
Phone (803) 432-2432

National Provider Directory

National Provider Directory

Locations

301 E DeKalb St
#B
Camden, SC 29020
Phone (803) 432-2432

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619049600000",
    "number": "1427630284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E DEKALB ST STE B",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290204495",
            "telephone_number": "803-432-2432",
            "fax_number": "803-432-1779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E DEKALB ST STE B",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290204495",
            "telephone_number": "803-432-2432",
            "fax_number": "803-432-1779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO-MOTION PHYSICAL THERAPY OF CAMDEN, SC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-22",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-21",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "SAVANNAH",
        "authorized_official_title_or_position": "EXECUTIVE ADMINISTRATOR",
        "authorized_official_telephone_number": "803-432-2432"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; 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.