Provider Demographics
NPI:1336446715
Name:ATLAS PHYSICAL THERAPY OF MOUNT PLEASANT, INC
Entity Type:Organization
Organization Name:ATLAS PHYSICAL THERAPY OF MOUNT PLEASANT, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROSS
Authorized Official - Middle Name:LIVINGSTON
Authorized Official - Last Name:CURNETT
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:843-225-6985
Mailing Address - Street 1:900 JOHNNIE DODDS BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-6130
Mailing Address - Country:US
Mailing Address - Phone:843-606-1490
Mailing Address - Fax:843-606-1491
Practice Address - Street 1:900 JOHNNIE DODDS BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-6130
Practice Address - Country:US
Practice Address - Phone:843-606-1490
Practice Address - Fax:843-606-1491
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-20
Last Update Date:2011-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy