Organization
ALL ABOUT THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA K BROWN OTR/L, CLT, ATC (OWNER)
(304) 573-1887
Entity
Organization
Contact information
Practice address
5046 HIGHWAY 17 BYP S, SUITE 205, MYRTLE BEACH, SC 29588-4503
(843) 748-0707
(843) 748-0751
Mailing address
5046 HIGHWAY 17 BYP S, SUITE 205, MYRTLE BEACH, SC 29588-4503
(843) 748-0707
(843) 748-0751
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
2255A2300X
Athletic Trainer
—
—
225700000X
Massage Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
037643
OPTUM GROUP
SC
01
—
4316
OCCUPATIONAL THERAPY
SC
01
—
622219300
DOL FECA
SC
01
—
6261
SPNET
SC
01
—
DW8931
MEDICARE RR
SC
01
—
G144
MEDICARE
—
05
—
GP7442
—
SC
01
—
P01722435
MEDICARE RR
SC
01
—
Q47209G144
MEDICARE UPIN
—
01
—
QMP000005222984
MOLINA HEALTHCARE
SC
05
—
TH3012
—
SC
Enumeration date
03/14/2016
Last updated
08/14/2017
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