Long Bay Rehab, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3584 Issued in SC

Legal business name

LONG BAY REHAB, LLC

Practice address

4871 Socastee Blvd Unit E
Myrtle Beach, SC 29588-7252

Phone

(843) 293-5610

Fax

(843) 293-5690

NPI assigned

Nov 17, 2006

Organization subpart

No

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

Authorized official

Name

Catherine Shelton, P.T.NPI 1932178498

Title

Partner

Phone

(843) 293-5610

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 3

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

• Catherine Marie Shelton, MAPT

  • Physical Therapist
  • Myrtle Beach, SC
  • NPI 1932178498
  NPD Authorized official
• Anthony A Critelli, PT, DPT

  • Physical Therapist
  • Myrtle Beach, SC
  • NPI 1295610483
  NPD (past)
• Christine Elaine Crowe, PT, AT

  • Physical Therapist
  • Myrtle Beach, SC
  • NPI 1609231281
  NPD (past)

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1609940394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 220",
            "city": "CHAPIN",
            "state": "SC",
            "postal_code": "290360220",
            "telephone_number": "843-293-5610",
            "fax_number": "843-293-5690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4871 SOCASTEE BLVD UNIT E",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295887252",
            "telephone_number": "843-293-5610",
            "fax_number": "843-293-5690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG BAY REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "843-293-5610",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "3584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3715",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Jean Lloyd, LPN
• Rachael Marie Lobb
• Ashley D. Locklear-Batton, DO
• Taylor Locklear, MD
• Margaret M Lohr, PT
• Joseph Long II
• Shannon Long, LPC
• Lookaway Anesthesia LLC
• Gianna Lopes, PTA
• Gabriel A Lopez-Alcivar, SA-C

• Physical Therapist in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; 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.