Individual
DR. RICHARD ANTHONY DEFALCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, OCS, CSCS
Contact information
Practice address
1301 48TH AVE N STE D, MYRTLE BEACH, SC 29577-5427
(843) 839-1300
(843) 839-1320
Mailing address
PO BOX 2397, PAWLEYS ISLAND, SC 29585-2397
(843) 235-0200
(843) 235-0242
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
10205
NC
225100000X
Physical Therapist
40QA01172100
NJ
225100000X
Physical Therapist
Primary
6295
SC
225100000X
Physical Therapist
P10205
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00892030
RAILROAD MEDICARE PRS 3 LLC
SC
01
—
P01046409
RAILROAD MEDICARE PTAN
SC
01
—
P01245604
RAILROAD MEDICARE PRS 4 LLC
SC
05
—
TH2436
—
SC
Enumeration date
03/06/2007
Last updated
01/13/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us