Harbor Health and Wellness, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

HARBOR HEALTH AND WELLNESS, LLC

Practice address

1778 Manassas Dr
Charleston, SC 29414-8023

Phone

(843) 304-3259

Fax

(843) 459-7949

NPI assigned

Aug 19, 2021

Organization subpart

No

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

Authorized official

Name

William Mark WilliamsNPI 1326261306

Title

Director

Phone

(843) 240-8627

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Practitioners 1

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

• William Mark Williams, MPT

  • Physical Therapist
  • Charleston, SC
  • NPI 1326261306
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629331200000",
    "number": "1467128405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1778 MANASSAS DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294148023",
            "telephone_number": "843-304-3259",
            "fax_number": "843-459-7949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1778 MANASSAS DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294148023",
            "telephone_number": "843-304-3259",
            "fax_number": "843-459-7949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR HEALTH AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-19",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "843-240-8627"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faye N Hant, D.O.
• Kristin Linamaria Hanula, MSW, LISW-CP, LCSW
• Ronald Alan Harbert
• Jeffrey Gerard Harbit, CRNA
• Maryanne Harbit
• Harbor Town Pulmonary, LLC
• Harborside Counseling
• Harborview Speech Therapy, LLC
• Stephen Mark Harden, MD
• Andrew Dean Hardie I, MD

• 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 Aug 19, 2021; 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.