MEDICARE: 8TH STATE REHAB & WELLNESS

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

General Provider Information

NPI Number	:	1619781309
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	8TH STATE REHAB & WELLNESS

Provider Business Mailing Address
First Line	:	1559 SAM RITTENBERG BLVD
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29407-4248
Country	:	US
Telephone Number	:	843-353-0888
Fax Number	:	843-954-0888

Provider Business Practice Location Address
First Line	:	1559 SAM RITTENBERG BLVD
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29407-4248
Country	:	US
Telephone Number	:	843-353-0888
Fax Number	:	843-954-0888

Authorized Official
Title or Position	:	OWNER
Name	:	DR. TRAVIS J FAHEY
Credential	:	PT, DPT, OCS
Telephone Number	:	973-493-7529

Provider Enumeration Date	:	02/04/2025
Last Update Date	:	06/03/2026

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Directions to “8TH STATE REHAB & WELLNESS ” Practice Location

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