Healthcare Provider Details

I. General information

NPI: 1851046585
Provider Name (Legal Business Name): ROVER REHAB, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2022
Last Update Date: 02/22/2022
Certification Date: 02/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 SAINT JULIAN PL
NORTH AUGUSTA SC
29860-8791
US

IV. Provider business mailing address

420 SAINT JULIAN PL
NORTH AUGUSTA SC
29860-8791
US

V. Phone/Fax

Practice location:
  • Phone: 803-510-5229
  • Fax: 803-916-9493
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251E1200X
TaxonomyErgonomics Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. BRIAN COOK
Title or Position: MANAGING DIRECTOR & CO-FOUNDER
Credential: PT, DPT, ATC
Phone: 706-593-1767