COLLABORATIVE HEALTHCARE LLC
NPI 1174961882
Physical Medicine & Rehabilitation in Lexington, SC

Active since June 05, 2013
716 OLD CHEROKEE RD, LEXINGTON, SC 29072(803) 359-2273(803) 359-3497 Get Directions Write a Review

NPPES record last updated: June 5, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Collaborative Healthcare Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLLABORATIVE HEALTHCARE LLC (NPI 1174961882) is a healthcare organization registered as a physical medicine & rehabilitation in Lexington, South Carolina and active in the NPI registry since June 2013. The organization lists Shane Conner, President, as its authorized official.

NPPES Registry Identity

NPI1174961882
Entity TypeOrganization
Primary Taxonomy208100000X
Legal Business NameCOLLABORATIVE HEALTHCARE LLC
Location Address716 OLD CHEROKEE RDLexington, SC 29072-9406
Mailing Address716 Old Cherokee RdLexington, SC 29072-9406 · (803) 359-2273 · Fax (803) 359-3497
Fax(803) 359-3497
Organization SubpartNo
Authorized OfficialShane ConnerPresident · (803) 359-2273
Enumeration DateJune 5, 2013
✔ NPI 1174961882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
Also ListedChiropractorTaxonomy 111N00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
716 OLD CHEROKEE RD, Lexington, SC 29072

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Collaborative Healthcare Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Collaborative Healthcare LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Chiropractic
NPI 1952324501
716 OLD CHEROKEE RD
Lexington, SC 29072
(803) 359-2273
✔ Accepts Medicare0.2 mi
Physical Therapist in Private Practice
NPI 1598058315
5432A AUGUSTA RD
Lexington, SC 29072
(803) 957-3373
✔ Accepts Medicare2.9 mi
Nurse Practitioner
NPI 1275016586
8 RICHLAND MEDICAL PARK DR STE 300
Columbia, SC 29203
(803) 256-6511
✔ PECOS✔ Accepts Medicare13 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Collaborative Healthcare LLC's NPI number?

The NPI number for Collaborative Healthcare LLC is 1174961882. It was assigned to this organization in the NPPES registry on June 5, 2013.

Where is Collaborative Healthcare LLC located?

Collaborative Healthcare LLC is located at 716 Old Cherokee Rd, Lexington, SC 29072. The listed phone number is (803) 359-2273.

What is Collaborative Healthcare LLC's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Collaborative Healthcare LLC enrolled in Medicare?

Yes. Collaborative Healthcare LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Collaborative Healthcare LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Collaborative Healthcare LLC, in Chiropractic, Nurse Practitioner and Physical Therapist in Private Practice. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Collaborative Healthcare LLC was last updated on June 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.