Organization Active NPI

Hope Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Myrtle Beach, SC
National Provider Identifier
1790302115
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
HOPE PHYSICAL THERAPY, LLC
Practice address
5900 N Kings Hwy Ste E
Myrtle Beach, SC 29577-2326
Phone
(630) 913-1820
NPI assigned
Jul 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Authorized official

Name
Candace Klixbull
Title
Owner
Phone
(630) 913-1820

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

5900 N Kings Hwy Ste E
Myrtle Beach, SC 29577-2326

Mailing address

5900 N Kings Hwy Ste E
Myrtle Beach, SC 29577-2326
Phone (843) 839-4900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201130000698 SC Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3870904618 Receives reassigned benefits from 1 practitioner
Practice locations: Myrtle Beach, SC

National Provider Directory

National Provider Directory

Locations

5900 N Kings Hwy
Ste E
Myrtle Beach, SC 29577
Phone (630) 913-1820

Practitioners & affiliated clinicians

Practitioners 1

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": "1593561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1790302115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 N KINGS HWY STE E",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295772326",
            "telephone_number": "843-839-4900",
            "fax_number": "843-604-2857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 N KINGS HWY STE E",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295772326",
            "telephone_number": "630-913-1820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-01",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "KLIXBULL",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-913-1820"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 28, 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.