Azalea Physical Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

AZALEA PHYSICAL THERAPY, LLC

Practice address

1240B Central Ave
Summerville, SC 29483-3148

Phone

(843) 261-1199

Fax

(843) 821-8799

NPI assigned

Jan 2, 2013

Last updated

Jan 2, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Hoke Stewart II

Title

President

Phone

(843) 261-1199

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1357084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357084800000",
    "number": "1942546429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240B CENTRAL AVE",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294833148",
            "telephone_number": "843-261-1199",
            "fax_number": "843-821-8799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240B CENTRAL AVE",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294833148",
            "telephone_number": "843-261-1199",
            "fax_number": "843-821-8799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZALEA PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-02",
        "last_updated": "2013-01-02",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "HOKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-261-1199",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Summerville, SC
• Providers in Summerville, 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 Jan 2, 2013; 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.