Healthcare Provider Details

I. General information

NPI: 1497675227
Provider Name (Legal Business Name): AVANTE PHYSICAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 MONCKTON BLVD
COLUMBIA SC
29206-4710
US

IV. Provider business mailing address

124 HAMPTON TRACE LN
COLUMBIA SC
29209-1908
US

V. Phone/Fax

Practice location:
  • Phone: 803-303-0585
  • Fax:
Mailing address:
  • Phone: 803-303-0585
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: COLIN MARZ
Title or Position: DOCTOR OF PHYSICAL THERAPY/OWNER
Credential: DPT
Phone: 803-303-0585