Organization Active NPI

Healing Beach LLC

  • Physical Therapist
  • Myrtle Beach, SC
National Provider Identifier
1972480630
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
HEALING BEACH LLC
Practice address
603B Briarwood Dr
Myrtle Beach, SC 29572-5745
Phone
(843) 564-3339
Fax
(843) 567-1033
NPI assigned
Aug 16, 2025
Last updated
May 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Authorized official

Name
Ellen Todd, PT, DPTNPI 1932647948
Title
Owner / Physical Therapist
Phone
(843) 450-9177

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary
Occupational Therapist 225X00000X NU

Addresses

Primary practice location

603B Briarwood Dr
Myrtle Beach, SC 29572-5745

Mailing address

679 Riverwalk Dr Unit 201
Myrtle Beach, SC 29579-7550
Phone (843) 564-3339

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260513003781 SC Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6406331719 Receives reassigned benefits from 2 practitioners
Practice locations: Myrtle Beach, SC

National Provider Directory

National Provider Directory

Locations

603 Briarwood Dr
#B
Myrtle Beach, SC 29572
Phone (843) 564-3339

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1755302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778544000000",
    "number": "1972480630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "679 RIVERWALK DR UNIT 201",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295797550",
            "telephone_number": "843-564-3339",
            "fax_number": "843-567-1033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603B BRIARWOOD DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295725745",
            "telephone_number": "843-564-3339",
            "fax_number": "843-567-1033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING BEACH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-16",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A",
        "authorized_official_last_name": "TODD",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "OWNER / PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "843-450-9177",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 May 12, 2026; 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.