Provider Demographics
NPI:1376692327
Name:ACCESS PHYSICAL THERAPY,LLC
Entity Type:Organization
Organization Name:ACCESS PHYSICAL THERAPY,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SAHLEE
Authorized Official - Middle Name:J
Authorized Official - Last Name:SALZER
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:803-774-2781
Mailing Address - Street 1:198 E WESMARK BLVD STE 1
Mailing Address - Street 2:
Mailing Address - City:SUMTER
Mailing Address - State:SC
Mailing Address - Zip Code:29150-2020
Mailing Address - Country:US
Mailing Address - Phone:803-774-2781
Mailing Address - Fax:803-774-2782
Practice Address - Street 1:198 E WESMARK BLVD STE 1
Practice Address - Street 2:
Practice Address - City:SUMTER
Practice Address - State:SC
Practice Address - Zip Code:29150-2020
Practice Address - Country:US
Practice Address - Phone:803-774-2781
Practice Address - Fax:803-774-2782
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2012-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2217225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCTH0339Medicaid
SCTH0339Medicaid