Richard Anthony Defalco in Myrtle Beach - Physical Therapist

Richard Anthony Defalco - NPI 1578693131

Richard Anthony Defalco is a Physical Therapist in Myrtle Beach, South Carolina. Richard Anthony Defalco practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Richard Anthony Defalco is 1578693131. The last update date is 2015-02-27.

Richard Anthony Defalco's current location address is 1301 48th Ave N, Myrtle Beach, South Carolina. You can contact this provider via phone number 8438391300 and fax number 8438391320. The mailing address for Richard Anthony Defalco is 1301 48th Ave N, Myrtle Beach, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Richard Anthony Defalco
Address 1301 48th Ave N, Myrtle Beach, South Carolina
Phone Number 8438391300
Fax Number 8438391320
Sole Proprietor N
Credentials DPT, OCS,

NPI Number Detail

NPI Number 1578693131
Provider Enumeration Date 2007-03-06
Last Updated Date 2015-02-27

Provider Mailing Address Detail

Address 1301 48th Ave N
City Myrtle Beach
State South Carolina (SC)
Post Code 295775427
Phone Number 8438391300
Fax Number 8438391320

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
Licence No 10205
Definition:
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P01046409 SC RAILROAD MEDICARE PTAN
P01245604 SC RAILROAD MEDICARE PRS 4 LLC
P00892030 SC RAILROAD MEDICARE PRS 3 LLC
TH2436 SC --

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FAQs about Richard Anthony Defalco

What is the unique 10-digit identifier code issued to Richard Anthony Defalco by the Centers for Medicare & Medicaid Services?

The Richard Anthony Defalco has been assigned the NPI (National Provider Identifier) 1578693131 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Richard Anthony Defalco is geographically located?

The Richard Anthony Defalco is physically situated at the following location: 1301 48Th Ave N, Myrtle Beach, SC, 295775427.

What is the Richard Anthony Defalco's area of specialization and corresponding taxonomy classification?

The Richard Anthony Defalco's specialty field is Physical Therapist, and it falls under the taxonomy code 225100000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services issue the 1578693131 to Richard Anthony Defalco?

The Richard Anthony Defalco received its 1578693131 assignment from the Centers for Medicare & Medicaid Services on 2007-03-06.

When was the Richard Anthony Defalco's information last updated?

The Richard Anthony Defalco's information was last updated on 2015-02-27.

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