NPIMap

Organization Active NPI

Carolina Pediatric Therapy Inc

  • Physical Therapist
  • Myrtle Beach, SC
National Provider Identifier
1639460330
Registry record updated May 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3841 Issued in SC
Legal business name
CAROLINA PEDIATRIC THERAPY INC
Practice address
538 Wild Horse CT
Myrtle Beach, SC 29579-7577
Phone
(843) 455-2415
Fax
(843) 903-2742
NPI assigned
Apr 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2011

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

Authorized official

Name
Miss Tammy Lynn Priganc, MSPT
Title
Physical Therapist
Phone
(843) 455-2415

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 3841 SC Primary
Physical Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 225200000X 2608 SC

Addresses

Primary practice location

538 Wild Horse CT
Myrtle Beach, SC 29579-7577

Mailing address

538 Wild Horse CT
Myrtle Beach, SC 29579-7577
Phone (843) 455-2415

Other identifiers 1

IdentifierTypeStateIssuer
3841OtherSCSOUTH CAROLINA BOARD OF PHYSICAL THERAPY EXAMINERS

National Provider Directory

National Provider Directory
Tax ID family
Carolina Pediatric Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1303948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304208000000",
    "number": "1639460330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 WILD HORSE CT",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295797577",
            "telephone_number": "843-455-2415",
            "fax_number": "843-903-2742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "538 WILD HORSE CT",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295797577",
            "telephone_number": "843-455-2415",
            "fax_number": "843-903-2742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA PEDIATRIC THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-28",
        "last_updated": "2011-05-01",
        "status": "A",
        "authorized_official_last_name": "PRIGANC",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "843-455-2415",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "3841",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "SC",
            "license": "2608",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTH CAROLINA BOARD OF PHYSICAL THERAPY EXAMINERS",
            "identifier": "3841",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2011; 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.