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

Stacy Rydbom

Individual provider Physical Therapy Assistant · NPI 1467917617

Stacy Rydbom is a Physical Therapy Assistant in Summerville, South Carolina. Works from 2 locations. Registered with an NPI since 2019.

In the registry since
2019
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Practice location Address checks out

1655 Cane Bay Blvd Ste B
Summerville, SC 29486-2397
Phone: (843) 719-7473
Fax: (843) 279-3251
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 201 W 9th North St, Summerville, SC 29483-6721 — (843) 879-0922

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X

Record details

NPI number1467917617
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 1, 2019
Last updated in NPPESAugust 3, 2020
Certification dateAugust 3, 2020

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