# ADVANTAGE PHYSICAL THERAPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Advantage Home Therapy LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427575091
- **Authorized official:** JONATHAN CANCIENNE (OWNER)
- **Authorized official phone:** (843) 718-2683

## Contact information

- **Practice address:** 537 LONG POINT RD STE 106, MOUNT PLEASANT, SC 29464-8279
- **Practice address phone:** (843) 718-2683
- **Practice address fax:** (803) 573-1050
- **Mailing address:** 537 LONG POINT RD STE 106, MOUNT PLEASANT, SC 29464-8279
- **Mailing address phone:** (843) 718-2683
- **Mailing address fax:** (843) 388-7149

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 08/24/2017
- **Last updated:** 03/05/2026