MEDICARE: EASTER SEAL SOCIETY OF SOUTH CAROLINA INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	225X00000X	Occupational Therapist
2	235Z00000X	Speech-Language Pathologist
3	261QP2000X	Physical Therapy Clinic/Center

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	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285637785
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EASTER SEAL SOCIETY OF SOUTH CAROLINA INC

Provider Business Mailing Address
First Line	:	101 DEER RUN RD
Second Line	:
City	:	ELGIN
State	:	SC
Zip	:	29045-8605
Country	:	US
Telephone Number	:	803-422-3894
Fax Number	:	803-661-8450

Provider Business Practice Location Address
First Line	:	101 DEER RUN RD
Second Line	:
City	:	ELGIN
State	:	SC
Zip	:	29045-8605
Country	:	US
Telephone Number	:	803-422-3894
Fax Number	:	803-888-4382

Authorized Official
Title or Position	:	CENTER MANAGER
Name	:	SHAE PEAK
Credential	:	CHE
Telephone Number	:	803-212-8971

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	12/21/2022

Similar Medicare Providers

1275284739 — DYNAMIC BEGINNINGS THERAPY LLC
Practice Location Address:

101 DEER RUN RD
ELGIN, SC
29045-8605

Practice Phone: 803-422-3894
Practice Fax:

1629407101 — SHAWANA GIBSON
Practice Location Address:

1 TIMES SQ , APT 101
ELGIN, IL
60120-8605

Practice Phone: 224-238-7118
Practice Fax:

1457282550 — NESTED HOUSE COUNSELING SERVICES
Practice Location Address:

111 KELSNEY RIDGE DR
ELGIN, SC
29045-8396

Practice Phone: 760-382-3974
Practice Fax:

1144119041 — GENERATIONAL HEALING AND WELLNESS THERAPY AND CONSULTING
Practice Location Address:

636 FROW DR
ELGIN, SC
29045-7153

Practice Phone: 843-697-4465
Practice Fax:

1477483295 — VIRGINIA PROPST
Practice Location Address:

421 LAYUP CIR
ELGIN, SC
29045-9871

Practice Phone: 803-550-7200
Practice Fax:

1376046318 — AMBER MOORE
Practice Location Address:

708 S LONG STAR WAY
ELGIN, SC
29045-8575

Practice Phone: 424-227-2024
Practice Fax:

Directions to “EASTER SEAL SOCIETY OF SOUTH CAROLINA INC ” 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.