TIDELANDS HEALTH PEDIATRIC REHABILITATION SERVICES AT GEORGETOWN
NPI 1295922284
Clinic/Center - Physical Therapy in Georgetown, SC

Active since October 03, 2007CLIA Certified · 2 labs
2361 NORTH FRASIER STREET, GEORGETOWN, SC 29440(843) 235-9748 Get Directions Write a Review

NPPES record last updated: April 18, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 18, 2019, Mar 21, 2019, Feb 20, 2019 (3 updates tracked since 2019).

About Tidelands Health Pediatric Rehabilitation Services At Georgetown NPPES

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

TIDELANDS HEALTH PEDIATRIC REHABILITATION SERVICES AT GEORGETOWN (NPI 1295922284) is a healthcare organization registered as a physical therapy in Georgetown, South Carolina and active in the NPI registry since October 2007. The organization holds 2 active CLIA laboratory certificates and lists Elizabeth S. Ward, Executive Vice President/cfo, as its authorized official.

NPPES Registry Identity

NPI1295922284
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameGEORGETOWN MEMORIAL HOSPITAL
Location Address2361 NORTH FRASIER STREETGeorgetown, SC 29440
Mailing AddressPo Box 421718Georgetown, SC 29442-4203 · (843) 235-9748
Organization SubpartNo
Authorized OfficialElizabeth S. WardExecutive Vice President/cfo · (843) 527-7102
Enumeration DateOctober 3, 2007
Last NPPES UpdateApril 18, 20193 updates tracked since enumeration
NPI 1295922284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
Definition

An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.

2361 NORTH FRASIER STREET, Georgetown, SC 29440

Other Names 1

Doing Business AsTidelands Health Pediatric Rehabilitation Services At Georgetown

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 42D2200046

Georgetown Memorial Hospital Point Of Care Testing · Georgetown, SC
Active · expires Jul 6, 2028
CLIA Number42D2200046
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateJuly 7, 2026
Certificate Expiration DateJuly 6, 2028
Laboratory DirectorMichael Rentz
Laboratory Phone(843) 527-7170
Laboratory LocationGeorgetown Memorial Hospital Point Of Care Testing606 Black River Road, Georgetown, SC 29440
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Accreditation 42D0251058

Georgetown Memorial Hospital · Georgetown, SC
Active · expires Feb 8, 2027
CLIA Number42D0251058
Laboratory TypeHospital
Certificate Effective DateFebruary 9, 2025
Certificate Expiration DateFebruary 8, 2027
Laboratory DirectorDr. Michael Rentz
Laboratory Phone(843) 527-7171
Laboratory LocationGeorgetown Memorial Hospital606 Black River Rd, Georgetown, SC 29440
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295922284, enumerated as an "organization" on October 03, 2007.

The provider is located at 2361 NORTH FRASIER STREET GEORGETOWN, SC 29440 and the phone number is (843) 235-9748.

Clinic/Center with taxonomy code 261QP2000X and a focus in Physical Therapy.

The provider might be accepting Accepts: Molina Healthcare. Please consult your insurance carrier or call the provider to verify.