MEDICARE: ATLANTIC PHYSICAL THERAPY & REHABILITATION, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	225200000X	Physical Therapy Assistant
2	225X00000X	Occupational Therapist
3	225100000X	Physical Therapist
4	224Z00000X	Occupational Therapy Assistant

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477508455
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATLANTIC PHYSICAL THERAPY & REHABILITATION, INC.

Provider Business Mailing Address
First Line	:	4012 POSTAL WAY
Second Line	:	SUITE C
City	:	MYRTLE BEACH
State	:	SC
Zip	:	29579-3185
Country	:	US
Telephone Number	:	843-903-4940
Fax Number	:

Provider Business Practice Location Address
First Line	:	4012 POSTAL WAY
Second Line	:	SUITE C
City	:	MYRTLE BEACH
State	:	SC
Zip	:	29579-3185
Country	:	US
Telephone Number	:	843-903-4940
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF ADMINISTRATION & CLIENT
Name	:	DARGAN ERVIN
Credential	:	P.T.
Telephone Number	:	843-293-7713

Provider Enumeration Date	:	05/24/2006
Last Update Date	:	09/11/2025

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Directions to “ATLANTIC PHYSICAL THERAPY & REHABILITATION, INC. ” Practice Location

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