Provider Demographics
NPI:1346055761
Name:RAY HEALTH & PERFORMANCE
Entity type:Organization
Organization Name:RAY HEALTH & PERFORMANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAY
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:843-504-1013
Mailing Address - Street 1:6 CAMP SAXTON WAY
Mailing Address - Street 2:
Mailing Address - City:PORT ROYAL
Mailing Address - State:SC
Mailing Address - Zip Code:29935-1764
Mailing Address - Country:US
Mailing Address - Phone:843-504-1013
Mailing Address - Fax:
Practice Address - Street 1:1202 BOUNDARY ST
Practice Address - Street 2:
Practice Address - City:BEAUFORT
Practice Address - State:SC
Practice Address - Zip Code:29902-4154
Practice Address - Country:US
Practice Address - Phone:843-504-1013
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RAY HEALTH & PERFORMANCE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-02-12
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy