# PROAXIS THERAPY SC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ATI Physical Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881967024
- **Authorized official:** LYNN MCGIVERN (CHIEF COMPLIANCE OFFICER)
- **Authorized official phone:** (630) 296-2222

## Contact information

- **Practice address:** 5046 HIGHWAY 17 BP S, STE 201, MYRTLE BEACH, SC 29588-4503
- **Practice address phone:** (843) 668-4329
- **Mailing address:** 790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
- **Mailing address phone:** (630) 296-2222
- **Mailing address fax:** (864) 528-5701

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |

## Other

- **Enumeration date:** 02/20/2012
- **Last updated:** 04/14/2016