Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Coastal Carolina Rehabilitation, LLC

Organization Physical Medicine & Rehabilitation Physician · NPI 1407198674

Coastal Carolina Rehabilitation, LLC provides Physical Medicine & Rehabilitation Physician services 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 Not confirmed with CMS for 12 years — call before visiting
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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