MEDICARE: PROFESSIONAL REHABILITATION SERVICES, 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	261QP2000X	Physical Therapy Clinic/Center	3690	SC

General Provider Information

NPI Number	:	1689622441
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROFESSIONAL REHABILITATION SERVICES, INC

Provider Business Mailing Address
First Line	:	PO BOX 2397
Second Line	:
City	:	PAWLEYS ISLAND
State	:	SC
Zip	:	29585-2397
Country	:	US
Telephone Number	:	843-235-0200
Fax Number	:	843-235-0200

Provider Business Practice Location Address
First Line	:	38 BUSINESS CENTER DRIVE
Second Line	:
City	:	PAWLEYS ISLAND
State	:	SC
Zip	:	29585-7425
Country	:	US
Telephone Number	:	843-235-0200
Fax Number	:	843-235-0242

Authorized Official
Title or Position	:	CEO
Name	:	BRIAN PATRICK KINMARTIN
Credential	:	DPT
Telephone Number	:	843-235-0200

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	01/12/2026

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