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

Dr. Richard Anthony Defalco, DPT, OCS, CSCS

Individual provider Physical Therapist · NPI 1578693131

Dr. Richard Anthony Defalco, DPT, OCS, CSCS is a Physical Therapist in Private Practice in Myrtle Beach, South Carolina. Qualified in 2005, 21 years ago. Accepts Medicare assignment. Licensed in North Carolina, New Jersey and South Carolina.

Years since qualifying
21
Licensed in
NC, NJ, SC
In the registry since
2007
Specialties on file
3
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1301 48th Ave N Ste D
Myrtle Beach, SC 29577-5427
Phone: (843) 839-1300
Fax: (843) 839-1320
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 6295 (SC)
Physical Therapist Taxonomy 225100000X · Licence 40QA01172100 (NJ)
Physical Therapist Taxonomy 225100000X · Licence P10205 (NC)

Record details

NPI number1578693131
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT , OCS , CSCS
Sole proprietorNo
NPI enumeratedMarch 6, 2007
Last updated in NPPESJanuary 13, 2026
Certification dateJanuary 13, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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