Organization Active NPI

Healthpros LLC

  • Physical Therapist
  • Murrells Inlet, SC
National Provider Identifier
1730716481
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
HEALTHPROS LLC
Practice address
5087 Highway 17 Bypass South
Murrells Inlet, SC 29576-5043
Phone
(828) 246-2233
Fax
(843) 405-0148
NPI assigned
Mar 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Authorized official

Name
William Bannon GattiNPI 1679546964
Title
PT
Phone
(828) 246-2233

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

5087 Highway 17 Bypass South
Murrells Inlet, SC 29576-5043

Mailing address

PO Box 589
Murrells Inlet, SC 29576-0589

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200406000522 SC Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1355770884 Receives reassigned benefits from 2 practitioners
Practice locations: Murrells Inlet, SC

National Provider Directory

National Provider Directory

Locations

12287 Highway 707
Murrells Inlt, SC 29576
Phone (828) 246-2233

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": "1585008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721174400000",
    "number": "1730716481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 589",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295760589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5087 HIGHWAY 17 BYPASS SOUTH",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295765043",
            "telephone_number": "828-246-2233",
            "fax_number": "843-405-0148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHPROS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-24",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A",
        "authorized_official_last_name": "GATTI",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "BANNON",
        "authorized_official_title_or_position": "PT",
        "authorized_official_telephone_number": "828-246-2233"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrells Inlet, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.