Organization Active NPI

Carol J Manheim

  • Physical Therapy Clinic/Center
  • Charleston, SC
National Provider Identifier
1992987903
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
611 Issued in SC
Legal business name
CAROL J MANHEIM
Practice address
12 Carriage LN
Suite C
Charleston, SC 29407-6077
Phone
(843) 556-6363
Fax
(843) 556-6363
NPI assigned
Nov 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Ms. Carol J Manheim, PT, LPC
Title
Owner
Phone
(843) 556-6363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 611 SC Primary

Addresses

Primary practice location

12 Carriage LN
Suite C
Charleston, SC 29407-6077

Mailing address

12 Carriage LN
Suite C
Charleston, SC 29407-6077
Phone (843) 556-6363

Other names 1

  • Plantation Plaza Therapy Center Doing business as

National Provider Directory

National Provider Directory

Locations

12 Carriage Ln
Ste C
Charleston, SC 29407
Phone (843) 556-6363

NPI Registry JSON

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1992987903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 CARRIAGE LN",
            "address_2": "SUITE C",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294076077",
            "telephone_number": "843-556-6363",
            "fax_number": "843-556-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 CARRIAGE LN",
            "address_2": "SUITE C",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294076077",
            "telephone_number": "843-556-6363",
            "fax_number": "843-556-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROL J MANHEIM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "MANHEIM",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-556-6363",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT, LPC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "SC",
            "license": "611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plantation Plaza Therapy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.