Healthcare Provider Details

I. General information

NPI: 1417549940
Provider Name (Legal Business Name): ABOUND PHYSICAL THERAPY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2021
Last Update Date: 02/05/2021
Certification Date: 02/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1210 S CASHUA DR STE 8
FLORENCE SC
29501-5325
US

IV. Provider business mailing address

1647 RUBY RD
HARTSVILLE SC
29550-2407
US

V. Phone/Fax

Practice location:
  • Phone: 843-409-1620
  • Fax:
Mailing address:
  • Phone: 843-409-1620
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MRS. MELISSA SHUMATE
Title or Position: PRESIDENT/PHYSICAL THERAPIST
Credential: MPT
Phone: 843-409-1620