MEDICARE: TOTAL REHAB SERVICES, PA

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	224Z00000X	Occupational Therapy Assistant	0141905	SC
2	2251E1200X	Ergonomics Physical Therapist	0141905	SC
3	2251G0304X	Geriatric Physical Therapist	0141905	SC
4	2251N0400X	Neurology Physical Therapist	0141905	SC
5	2251S0007X	Sports Physical Therapist	0141905	SC
6	2251X0800X	Orthopedic Physical Therapist	0141905	SC
7	225200000X	Physical Therapy Assistant	0141905	SC
8	225700000X	Massage Therapist	0141905	SC
9	225X00000X	Occupational Therapist	0141905	SC
10	225XH1200X	Hand Occupational Therapist	0141905	SC
11	225XN1300X	Neurorehabilitation Occupational Therapist	0141905	SC
12	225XP0200X	Pediatric Occupational Therapist	0141905	SC
13	235Z00000X	Speech-Language Pathologist	0141905	SC
14	225100000X	Physical Therapist	0141905	SC

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
2	1055662	OTHER	SC	FIRST HEALTH NETWORK

General Provider Information

NPI Number	:	1952304164
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOTAL REHAB SERVICES, PA

Provider Business Mailing Address
First Line	:	9600 TWO NOTCH RD
Second Line	:	STE 24
City	:	COLUMBIA
State	:	SC
Zip	:	29223-1613
Country	:	US
Telephone Number	:	803-736-5540
Fax Number	:	803-699-0951

Provider Business Practice Location Address
First Line	:	9600 TWO NOTCH RD
Second Line	:	STE 24
City	:	COLUMBIA
State	:	SC
Zip	:	29223-1613
Country	:	US
Telephone Number	:	803-736-5540
Fax Number	:	803-699-0951

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. MARILYN RICHMAN PICOW
Credential	:	OTRL
Telephone Number	:	803-736-5540

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	08/23/2012

Similar Medicare Providers

1659444818 — MALA O MUNN OTRL,CHT
Practice Location Address:

9600 TWO NOTCH RD. , SUITE 24
COLUMBIA, SC
29223-1613

Practice Phone: 803-736-5540
Practice Fax: 803-699-0951

1821119785 — MRS. MARILYN RICHMAN PICOW OTRL
Practice Location Address:

9600 TWO NOTCH RD STE #24
COLUMBIA, SC
29223-1613

Practice Phone: 803-736-5540
Practice Fax: 803-699-0951

1649391533 — KAYE K. WOOTEN MSP, CCC-SLP
Practice Location Address:

9600 TWO NOTCH RD STE 26
COLUMBIA, SC
29223-1613

Practice Phone: 803-736-5540
Practice Fax:

1306967146 — TASHIA GARRETT SHUEY OTR L
Practice Location Address:

9600 TWO NOTCH RD STE 24
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29223-1613

Practice Phone: 803-736-5540
Practice Fax:

1902206352 — AMY BERGER
Practice Location Address:

9600 TWO NOTCH RD STE 24
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29223-1613

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1962480590 — AMBIKA RAO M.D.
Practice Location Address:

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Directions to “TOTAL REHAB SERVICES, PA ” Practice Location

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