Healthcare Provider Details

I. General information

NPI: 1205251261
Provider Name (Legal Business Name): COMPASS REHABILITATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2014
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 OKATIE CENTER BLVD N
OKATIE SC
29909-3750
US

IV. Provider business mailing address

134 NIGHT HAWK LN
HARDEEVILLE SC
29927-9102
US

V. Phone/Fax

Practice location:
  • Phone: 843-705-7483
  • Fax: 843-705-7411
Mailing address:
  • Phone: 912-695-1889
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number5077
License Number StateSC

VIII. Authorized Official

Name: CRAIG WEYER
Title or Position: DIRECTOR
Credential:
Phone: 912-695-1889