AGEILITY PHYSICAL THERAPY SOLUTIONS AT MYRTLE BEACH MANOR – NPI #1700348711
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.

AGEILITY PHYSICAL THERAPY SOLUTIONS AT MYRTLE BEACH MANOR is an AHC clinic located in MYRTLE BEACH, SC. NPPES has assigned the NPI number 1700348711 to AGEILITY PHYSICAL THERAPY SOLUTIONS AT MYRTLE BEACH MANOR on April 01, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “AGEILITY PHYSICAL THERAPY SOLUTIONS AT MYRTLE BEACH MANOR” is a dba name, the actual legal business name for this organization is FIVE STAR REHABILITATION AND WELLNESS SERVICES, LLC.. The primary taxonomy selected by this provider is 261QP2000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Physical Therapy

The NPI profile was previously updated about 4 years ago on Oct 20, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AGEILITY PHYSICAL THERAPY SOLUTIONS AT MYRTLE BEACH MANOR below.

NPI Profile for
FIVE STAR REHABILITATION AND WELLNESS SERVICES, LLC.

NPI Number
1700348711
Enumeration Date

(more than 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FIVE STAR REHABILITATION AND WELLNESS SERVICES, LLC.
Doing Business As (dba): AGEILITY PHYSICAL THERAPY SOLUTIONS AT MYRTLE BEACH MANOR
Primary location
9547 N KINGS HWY
MYRTLE BEACH, SC 29572
Phone: (843) 449-5283 Fax:
1 Other location(s):
9547 Highway 17 North
Myrtle Beach, SC 29572
Phone: (843) 449-5283
Mailing address
255 WASHINGTON ST STE 230
NEWTON, MA 02458-1644
Phone: (617) 796-8350 Fax:
Organization Subpart
Yes - AGEILITY PHYSICAL THERAPY SOLUTIONS AT MYRTLE BEACH MANOR is subpart of another organization.
Authorized Official
JEFFREY LEER
PRESIDENT & CHIEF EXECUTIVE OFFICER
Phone: (617) 796-8387
Updated
Certification Date
Oct 20, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP2000X
- Clinic/Center / Physical Therapy (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.