PRUITTHEALTH THERAPY SERVICES - WEST COLUMBIA (PRUITTHEALTH THERAPY SERVICES, INC.) NPI 1447788211

Clinic/Center (Rehabilitation) in West Columbia, SC

NPI 1447788211 Organization Clinic/Center Rehabilitation

About PRUITTHEALTH THERAPY SERVICES - WEST COLUMBIA (PRUITTHEALTH THERAPY SERVICES, INC.)

Pruitthealth Therapy Services - West Columbia (pruitthealth Therapy Services, Inc.) is a provider established in West Columbia, South Carolina specializing in clinic/center (rehabilitation) . The NPI number of Pruitthealth Therapy Services - West Columbia (pruitthealth Therapy Services, Inc.) is 1447788211 and was assigned on May 2017. The practitioner's primary taxonomy code is 261QR0400X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's other name is Pruitthealth Therapy Services - West Columbia. The authorized official of this NPI record is Mr. Neil L Pruitt Jr. (Chairman And Ceo)

NPI

1447788211

Provider NamePRUITTHEALTH THERAPY SERVICES - WEST COLUMBIA (PRUITTHEALTH THERAPY SERVICES, INC.)
Provider Location Address2705 LEAPHART RD WEST COLUMBIA, SC 29169
Provider Mailing Address1626 JEURGENS CT NORCROSS, GA 30093
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NamePRUITTHEALTH THERAPY SERVICES - WEST COLUMBIA
Other Name TypeOther Name (5)
Enumeration Date05-24-2017
Last Update Date05-24-2017


Primary Taxonomy

Taxonomy Code261QR0400X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationRehabilitation

Business Address

PRUITTHEALTH THERAPY SERVICES - WEST COLUMBIA
2705 LEAPHART RD
WEST COLUMBIA, SC
ZIP 29169
Phone: (803) 939-3000

Get Directions


Mailing Address

PRUITTHEALTH THERAPY SERVICES - WEST COLUMBIA
1626 JEURGENS CT
NORCROSS, GA
ZIP 30093
Phone: (770) 279-6200



Authorized Official

Authorized Official NameMR. NEIL L PRUITT JR.
Authorized Official TitleCHAIRMAN AND CEO
Authorized Official Phone(770) 279-6200

Other Providers at the same location


The following 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1356438907MRS. ANGIE LYNN WINTERSTEIN PT
Individual
Physical Therapist2705 LEAPHART RD
WEST COLUMBIA, SC 29169
(803) 926-5119
1669549291MRS. ANN KENICK CARLSON PT
Individual
Physical Therapist2705 LEAPHART RD AGAPE THERAPY
WEST COLUMBIA, SC 29169
(803) 926-5119
1417024167MISS KELI LYNN MCHALE OTR
Individual
Occupational Therapist2705 LEAPHART RD AGAPE THERAPY
WEST COLUMBIA, SC 29169
(803) 926-5119
1558537381AGAPE THERAPY INC
Organization
Clinic/Center (Rehabilitation)2705 LEAPHART RD
WEST COLUMBIA, SC 29169
(803) 926-5119
1871730515MR. MICHAEL EDWARD GOLOB OTR/L
Individual
Occupational Therapist2705 LEAPHART RD
WEST COLUMBIA, SC 29169
(803) 926-5119
1225275969MRS. MELODY T MATTOX PTA
Individual
Physical Therapy Assistant2705 LEAPHART RD
WEST COLUMBIA, SC 29169
(803) 926-5119
1003045303AGAPE ASSISTED LLIVING, INC.
Organization
Assisted Living Facility2705 LEAPHART RD
WEST COLUMBIA, SC 29169
(803) 939-3000
1497122766 ASHLEY FORD PTA
Individual
Physical Therapy Assistant2705 LEAPHART RD
WEST COLUMBIA, SC 29169
(803) 939-3000
1407222904FC MIDLANDS WEST COLUMBIA, LLC
Organization
Assisted Living Facility2705 LEAPHART RD
WEST COLUMBIA, SC 29169
(803) 939-3000
1225081730AGAPE THERAPY, INC.
Organization
Physical Therapist2705 LEAPHART RD
WEST COLUMBIA, SC 29169
(803) 393-3000

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.