Provider Demographics
NPI:1093457046
Name:THE REHAB DOCS
Entity Type:Organization
Organization Name:THE REHAB DOCS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:SAM
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEPPARD
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:631-747-8091
Mailing Address - Street 1:145 RIVER LANDING DR UNIT 101A
Mailing Address - Street 2:
Mailing Address - City:DANIEL ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29492-8612
Mailing Address - Country:US
Mailing Address - Phone:843-834-6406
Mailing Address - Fax:
Practice Address - Street 1:145 RIVER LANDING DR UNIT 101A
Practice Address - Street 2:
Practice Address - City:DANIEL ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29492-8612
Practice Address - Country:US
Practice Address - Phone:843-834-6406
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-11
Last Update Date:2022-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty