MEDICARE: ATLANTIC PHYSICAL THERAPY AND REHAB, INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

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	:	1558507285
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATLANTIC PHYSICAL THERAPY AND REHAB, INC.

Provider Business Mailing Address
First Line	:	4310 HIGHWAY 17
Second Line	:
City	:	MURRELLS INLET
State	:	SC
Zip	:	29576-5022
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4310 HIGHWAY 17
Second Line	:
City	:	MURRELLS INLET
State	:	SC
Zip	:	29576-5022
Country	:	US
Telephone Number	:	843-293-7713
Fax Number	:

Authorized Official
Title or Position	:	BILLING MANAGER
Name	:	MRS. DEBBIE BRISSON
Credential	:
Telephone Number	:	843-293-2129

Provider Enumeration Date	:	12/31/2008
Last Update Date	:	12/31/2008

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