Northbridge Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

1319 Issued in SC

Legal business name

NORTHBRIDGE PHYSICAL THERAPY LLC

Practice address

1350 Ashley River Rd
Suite B
Charleston, SC 29407-5373

Phone

(843) 571-0877

Fax

(843) 571-0844

NPI assigned

Feb 19, 2008

Last updated

Mar 7, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Susan Ragsdale King, PHYSICAL THERAPISTPT

Title

Owner Northbridge PT

Phone

(843) 343-5108

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204848000000",
    "number": "1447428982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31833",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294171833",
            "telephone_number": "843-571-0877",
            "fax_number": "843-571-0844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 ASHLEY RIVER RD",
            "address_2": "SUITE B",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294075373",
            "telephone_number": "843-571-0877",
            "fax_number": "843-571-0844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHBRIDGE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2008-03-07",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "RAGSDALE",
        "authorized_official_title_or_position": "OWNER NORTHBRIDGE PT",
        "authorized_official_telephone_number": "843-343-5108",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PHYSICAL THERAPISTPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "SC",
            "license": "1319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1982741963",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Norred, M.D.
• Jalen Khalid Norris
• Justin Norris, MD
• Wendi Norris, LPC
• Michael Dennis North Jr., MD
• Northern Tides Speech and Language L.L.C.
• Kristina Rimkute Norton-Baker, DO
• Mara Norton-Baker
• Elizabeth Anne Norton, CRNA
• Julien Norton, M.D.

• Physical Therapy Clinic/Center in Charleston, SC
• Providers in Charleston, 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 Mar 7, 2008; 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.