MEDICARE: MRS. ASHLEY PATE GOLDSTON PT

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	8342	NC
2	225100000X	Physical Therapist	6168	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
2	1B 078CR	OTHER	NC	BCBS

General Provider Information

NPI Number	:	1245273762
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ASHLEY PATE GOLDSTON PT

Provider Business Mailing Address
First Line	:	2709 MARSH GLEN DR
Second Line	:
City	:	NORTH MYRTLE BEACH
State	:	SC
Zip	:	29582-9316
Country	:	US
Telephone Number	:	843-249-7232
Fax Number	:

Provider Business Practice Location Address
First Line	:	543 HIGHWAY 17 N
Second Line	:
City	:	NORTH MYRTLE BEACH
State	:	SC
Zip	:	29582-2903
Country	:	US
Telephone Number	:	843-249-7232
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2006
Last Update Date	:	08/29/2012

Similar Medicare Providers

1598716417 — MRS. JOY V. COLLINS P.T.
Practice Location Address:

543 HIGHWAY 17 N , NORTH BEACH SHOPPING CENTER
NORTH MYRTLE BEACH, SC
29582-2903

Practice Phone: 843-249-7232
Practice Fax:

1487606000 — MR. HARRY B. DOUGLAS P.T.
Practice Location Address:

543 HIGHWAY 17 N , NORTH BEACH SHOPPING CENTER
NORTH MYRTLE BEACH, SC
29582-2903

Practice Phone: 843-249-7232
Practice Fax:

1598718280 — MRS. BONNIE ALLEN BOTTOMS P.T.A.
Practice Location Address:

543 HIGHWAY 17 N
NORTH MYRTLE BEACH, SC
29582-2903

Practice Phone: 843-249-7232
Practice Fax:

1972558948 — ATLANTIC PHYSICAL THERAPY & REHABILITATION, INC.
Practice Location Address:

543 HIGHWAY 17 N , NORTH BEACH SHOPPING CENTER
NORTH MYRTLE BEACH, SC
29582-2903

Practice Phone: 843-249-7232
Practice Fax:

1326148313 — DR. RICHARD D SHADE DC
Practice Location Address:

513 HIGHWAY 17 N
NORTH MYRTLE BEACH, SC
29582-2903

Practice Phone: 843-280-7000
Practice Fax: 843-280-7001

1962588798 — NORTH MYRTLE BEACH CHIROPRACTIC PC
Practice Location Address:

513 HIGHWAY 17 N
NORTH MYRTLE BEACH, SC
29582-2903

Practice Phone: 843-280-7000
Practice Fax: 843-280-7001

Directions to “ MRS. ASHLEY PATE GOLDSTON PT” 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.