Healthcare Provider Details

I. General information

NPI: 1124685664
Provider Name (Legal Business Name): JOINT EFFORT MOVEMENT CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2019
Last Update Date: 02/28/2022
Certification Date: 02/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1019 PHYSICIANS DR STE C
CHARLESTON SC
29414-5746
US

IV. Provider business mailing address

1019 PHYSICIANS DR STE C
CHARLESTON SC
29414-5746
US

V. Phone/Fax

Practice location:
  • Phone: 843-790-4515
  • Fax: 843-459-7940
Mailing address:
  • Phone: 843-790-4515
  • Fax: 843-459-7940

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. COURTNEY STEARN
Title or Position: OWNER
Credential: DPT
Phone: 843-790-4515