# DANIEL ISLAND PHYSICAL THERAPY 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:** 1578151619
- **Authorized official:** JENNIFER OLSEN D.P.T. (MANAGER)
- **Authorized official phone:** (516) 662-9962

## Contact information

- **Practice address:** 212 BRAILSFORD ST., DANIEL ISLAND, SC 29492-2949
- **Practice address phone:** (516) 662-9962
- **Practice address fax:** (800) 968-8969
- **Mailing address:** 186 SEVEN FARMS DR., STE. F, PMB 373, DANIEL ISLAND, SC 29492
- **Mailing address phone:** (516) 662-9962
- **Mailing address fax:** (800) 968-8969

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 01/05/2021
- **Last updated:** 01/05/2021