MYRTLE BEACH PHYSICAL MEDICINE & REHAB, LLC
NPI 1760806160
Family Medicine in Myrtle Beach, SC

Active since February 06, 2014
4736 17 BYPASS SOUTH, MYRTLE BEACH, SC 29588(843) 444-9355(843) 294-0019 Get Directions Write a Review

NPPES record last updated: February 6, 2014. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Myrtle Beach Physical Medicine & Rehab, Llc NPPES

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

MYRTLE BEACH PHYSICAL MEDICINE & REHAB, LLC (NPI 1760806160) is a healthcare organization registered as a family medicine in Myrtle Beach, South Carolina and active in the NPI registry since February 2014. The organization lists Mark Luckie, President, as its authorized official.

NPPES Registry Identity

NPI1760806160
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMYRTLE BEACH PHYSICAL MEDICINE & REHAB, LLC
Location Address4736 17 BYPASS SOUTHMyrtle Beach, SC 29588
Mailing Address4736 17 Bypass SouthMyrtle Beach, SC 29588 · (843) 444-9355 · Fax (843) 294-0019
Fax(843) 294-0019
Organization SubpartNo
Authorized OfficialMark LuckiePresident · (843) 444-9355
Enumeration DateFebruary 6, 2014
NPI 1760806160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4736 17 BYPASS SOUTH, Myrtle Beach, SC 29588

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

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 Myrtle Beach Physical Medicine & Rehab, LLC's NPI number?

The NPI number for Myrtle Beach Physical Medicine & Rehab, LLC is 1760806160. It was assigned to this organization in the NPPES registry on February 6, 2014.

Where is Myrtle Beach Physical Medicine & Rehab, LLC located?

Myrtle Beach Physical Medicine & Rehab, LLC is located at 4736 17 Bypass South, Myrtle Beach, SC 29588. The listed phone number is (843) 444-9355.

What is Myrtle Beach Physical Medicine & Rehab, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Myrtle Beach Physical Medicine & Rehab, LLC was last updated on February 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.