# DEFORD REHAB CONSULTING LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144885153
- **Authorized official:** DR. MARK DEFORD MD (OWNER)
- **Authorized official phone:** (312) 262-6434

## Contact information

- **Practice address:** 305 ISLAND PARK DR, DANIEL ISLAND, SC 29492-7301
- **Practice address phone:** (843) 764-3500
- **Practice address fax:** (843) 553-0914
- **Mailing address:** 26 WOODFORD ST, DANIEL ISLAND, SC 29492-8046

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/06/2019
- **Last updated:** 04/24/2025