MEDICARE: PALMETTO REHABILITATION SPECIALISTS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	6502	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003194978
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PALMETTO REHABILITATION SPECIALISTS, LLC

Provider Business Mailing Address
First Line	:	105 BEN CASEY DR
Second Line	:	SUITE 127
City	:	FORT MILL
State	:	SC
Zip	:	29708-8561
Country	:	US
Telephone Number	:	803-802-5855
Fax Number	:	803-802-5869

Provider Business Practice Location Address
First Line	:	105 BEN CASEY DR STE 127
Second Line	:
City	:	FORT MILL
State	:	SC
Zip	:	29708-8557
Country	:	US
Telephone Number	:	803-802-5855
Fax Number	:

Authorized Official
Title or Position	:	CO-OWNER
Name	:	RICHARD BATES
Credential	:
Telephone Number	:	803-802-5855

Provider Enumeration Date	:	07/26/2011
Last Update Date	:	08/18/2020

Similar Medicare Providers

1770101388 — DR. CHELSEA CLARK JANASEK PT, DPT, OCS
Practice Location Address:

105 BEN CASEY DR STE 127
FORT MILL, SC
29708-8557

Practice Phone: 803-802-5855
Practice Fax:

1588836720 — DR. GARY FIKE JR. AUD
Practice Location Address:

127 BEN CASEY DR. , SUITE 105
FORT MILL, SC
29708-8557

Practice Phone: 803-547-4327
Practice Fax: 803-547-4329

1639563620 — PALMETTO FAMILY HEARING CENTER, LLC
Practice Location Address:

127 BEN CASEY DR. , SUITE 105
FORT MILL, SC
29708-8557

Practice Phone: 803-547-4327
Practice Fax: 803-547-4329

1548759244 — SMILE DOCTORS OF SOUTH CAROLINA, P.C.
Practice Location Address:

105 BEN CASEY DR STE 109
FORT MILL, SC
29708-8557

Practice Phone: 803-548-8110
Practice Fax:

1942878830 — RHETT FARMER DMD
Practice Location Address:

105 BEN CASEY DR STE 139
FORT MILL, SC
29708-8557

Practice Phone: 803-547-5002
Practice Fax:

1851087811 — BIEHL AND FARMER FAMILY DENTISTRY
Practice Location Address:

105 BEN CASEY DR STE 139
FORT MILL, SC
29708-8557

Practice Phone: 803-517-2210
Practice Fax:

Directions to “PALMETTO REHABILITATION SPECIALISTS, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.