Provider Demographics
NPI:1427654797
Name:COMPASS REHABILITATION
Entity type:Organization
Organization Name:COMPASS REHABILITATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:
Authorized Official - Last Name:WEYER
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:843-547-4058
Mailing Address - Street 1:100 OKATIE CENTER BOULEVARD NORTH
Mailing Address - Street 2:
Mailing Address - City:OKATIE
Mailing Address - State:SC
Mailing Address - Zip Code:29909-3750
Mailing Address - Country:US
Mailing Address - Phone:843-547-4058
Mailing Address - Fax:843-705-7411
Practice Address - Street 1:100 OKATIE CENTER BOULEVARD NORTH
Practice Address - Street 2:
Practice Address - City:OKATIE
Practice Address - State:SC
Practice Address - Zip Code:29909-3750
Practice Address - Country:US
Practice Address - Phone:843-547-4058
Practice Address - Fax:843-705-7411
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMPASS REHABILITATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-12-10
Last Update Date:2020-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty