TIDELANDS HEALTH PEDIATRIC REHABILITATION SERVICES AT GEORGETOWN
NPI 1295922284
Clinic/Center - Physical Therapy in Georgetown, SC
NPI Status: Active since October 03, 2007
Contact Information
2361 NORTH FRASIER STREET
GEORGETOWN, SC
ZIP 29440
Phone: (843) 235-9748
- Organization
- Clinic/Center
- Physical Therapy
- Accepts Insurance
- CLIA Number: 42D0251058
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 02-08-2027
About TIDELANDS HEALTH PEDIATRIC REHABILITATION SERVICES AT GEORGETOWN
This page provides the complete NPI Profile along with additional information for Tidelands Health Pediatric Rehabilitation Services At Georgetown, a provider established in Georgetown, South Carolina operating as a Clinic/center, focusing in physical therapy . The healthcare provider is registered in the NPI registry with number 1295922284 assigned on October 2007. The practitioner's primary taxonomy code is 261QP2000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's is doing business as Tidelands Health Pediatric Rehabilitation Services At Georgetown. The authorized official of this NPI record is Elizabeth S. Ward (Executive Vice President/cfo)
- NPI
- 1295922284
- Provider Legal Name
- GEORGETOWN MEMORIAL HOSPITAL
- Other Organization Name
- TIDELANDS HEALTH PEDIATRIC REHABILITATION SERVICES AT GEORGETOWN
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2361 NORTH FRASIER STREET GEORGETOWN, SC 29440
- Location Phone
- (843) 235-9748
- Mailing Address
- PO BOX 421718 GEORGETOWN, SC 29442
- Mailing Phone
- (843) 235-9748
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-03-2007
- Last Update Date
- 04-18-2019
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Physical Therapy
- Taxonomy Code
- 261QP2000X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Molina Gold Core 1640 - HMO
- Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
- Molina Gold Core 1640 Plus with Adult Vision - HMO
- Molina Gold Standard - HMO
- Molina Gold Value - HMO
- Molina Gold Value Plus with Adult Dental and Vision - HMO
- Molina Gold Value Plus with Adult Vision - HMO
- Molina Silver Core - HMO
- Molina Silver Core Plus with Adult Dental and Vision - HMO
- Molina Silver Core Plus with Adult Vision - HMO
- Molina Silver Saver - HMO
- Molina Silver Standard - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 42D0251058
- Facility Type
- Hospital
- Certificate Effective Date
- February 09, 2025
- Certificate Expiration Date
- February 08, 2027
- Laboratory Director
- DR. MICHAEL RENTZ
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Tidelands Health Pediatric Rehabilitation Services At Georgetown on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1295922284, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 66 is 70. The difference is the calculated check digit.
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.