Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Coastal Carolina Rehabilitation, LLC

Organization Physical Medicine & Rehabilitation Physician · NPI 1407198674

Coastal Carolina Rehabilitation, LLC is a Physical Medicine & Rehabilitation Physician in Charleston, South Carolina. Licensed in South Carolina. Registered with an NPI since 2013.

Licensed in
SC
In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

316 Calhoun St
Charleston, SC 29401-1113
Phone: (843) 724-2097
Fax: (843) 724-1995
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 15656 (SC)

Record details

NPI number1407198674
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Nicholson — President · (843) 693-2346
NPI enumeratedMarch 26, 2013
Last updated in NPPESApril 30, 2014
Mailing addressPo Box 80128, Charleston, SC 29416-0128

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