Healthcare Provider Details

I. General information

NPI: 1669489910
Provider Name (Legal Business Name): JAMES ISLAND PHYSICAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2006
Last Update Date: 10/28/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 SEAPORT LN UNIT 3328
MT PLEASANT SC
29464-3785
US

IV. Provider business mailing address

500 WESTOVER DR # 34841
SANFORD NC
27330-8941
US

V. Phone/Fax

Practice location:
  • Phone: 843-478-5478
  • Fax:
Mailing address:
  • Phone: 843-478-5478
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberPT3683
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberPT5322
License Number StateSC
# 3
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BRANDON CRAIG DUFFIE
Title or Position: OWNER/PHYSICAL THERAPIST
Credential: DPT, ATC
Phone: 843-478-5478