Healthcare Provider Details

I. General information

NPI: 1013573849
Provider Name (Legal Business Name): ACE PHYSIO & WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2019
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3031 MARLIN RD
JOHNS ISLAND SC
29455-3904
US

IV. Provider business mailing address

3031 MARLIN RD
JOHNS ISLAND SC
29455-3904
US

V. Phone/Fax

Practice location:
  • Phone: 843-779-2396
  • Fax:
Mailing address:
  • Phone: 843-779-2396
  • Fax: 843-998-7656

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ANDREW TUBIS
Title or Position: OWNER
Credential: PT
Phone: 843-779-2396