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General NPI Number Information
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NPI Number | 1972558948
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Entity Type | Organization
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Legal Business Name | ATLANTIC PHYSICAL THERAPY & REHABILITATION, INC.
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Dates
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Enumeration Date | 05/24/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 543 HIGHWAY 17 N NORTH BEACH SHOPPING CENTER
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City | NORTH MYRTLE BEACH
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State | SC
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Zip | 29582-2903
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Country | US
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Telephone | 843-249-7232
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Fax |
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Provider Business Mailing Address
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Address Line | 543 HIGHWAY 17 N NORTH BEACH SHOPPING CENTER
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City | NORTH MYRTLE BEACH
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State | SC
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Zip | 29582-2903
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Country | US
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Telephone | 843-249-7232
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF ADMINISTRATION & CLIENT
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Name | DARGAN ERVIN
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Credential | P.T.
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Telephone | 843-293-7713
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number |
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License Number State |
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