Community Rehab and Physical Therapy, PA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

2629 Issued in SC

Legal business name

COMMUNITY REHAB AND PHYSICAL THERAPY, PA

Practice address

117 Waccamaw Medical Park Dr
Conway, SC 29526-8902

Phone

(843) 347-2970

Fax

(843) 347-2975

NPI assigned

Jun 15, 2006

Organization subpart

No

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

Authorized official

Name

Louise K Pearce, PHYSICAL THERAPIST

Title

President

Phone

(843) 347-2970

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318204800000",
    "number": "1972547743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 WACCAMAW MEDICAL PARK DR",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295268902",
            "telephone_number": "843-347-2970",
            "fax_number": "843-347-2975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 WACCAMAW MEDICAL PARK DR",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295268902",
            "telephone_number": "843-347-2970",
            "fax_number": "843-347-2975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY REHAB AND PHYSICAL THERAPY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2011-10-10",
        "status": "A",
        "authorized_official_last_name": "PEARCE",
        "authorized_official_first_name": "LOUISE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-347-2970",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "SC",
            "license": "2629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TH1450",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shawna Collins
• Cassandra Jne Colon, RN
• Paola N Colon, DC
• Matthew Bradford Combs, PHARMD
• Tiffany Hilbourn Combs, PHARMD
• Community Resource Solutions LLC SC
• Larissa Connell, FNP-BC
• Elizabeth M. Connelly, ARNP
• Edward H Connor, PH.D.
• Conway Adult Day Care

• Physical Medicine & Rehabilitation Physician in Conway, SC
• Providers in Conway, SC by specialty
• Physical Medicine & Rehabilitation Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.