Healthcare Provider Details

I. General information

NPI: 1952649956
Provider Name (Legal Business Name): PRS 4, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2013
Last Update Date: 01/09/2026
Certification Date: 01/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11916 HIGHWAY 707 STE C
MURRELLS INLET SC
29576-9610
US

IV. Provider business mailing address

PO BOX 2397
PAWLEYS ISLAND SC
29585-2397
US

V. Phone/Fax

Practice location:
  • Phone: 843-314-3224
  • Fax: 843-314-3596
Mailing address:
  • Phone: 843-235-0200
  • Fax: 843-235-0242

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: BRIAN PATRICK KINMARTIN
Title or Position: CEO
Credential: DPT
Phone: 843-235-0200