Collaborative Healthcare LLC
NPI 1174961882 · Physical Medicine & Rehabilitation Physician · Lexington, SC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Collaborative Healthcare LLC is a Physical Medicine & Rehabilitation Physician organization in Lexington, SC (NPI 1174961882).
Provider details
- NPI number
- 1174961882
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shane Conner, President(803) 359-2273
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Chiropractor111N00000X
Chiropractic Providers
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-06-05
- Last updated
- 2013-06-05
Frequently asked questions
- What is Collaborative Healthcare LLC's NPI number?
- Collaborative Healthcare LLC's National Provider Identifier (NPI) is 1174961882, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Collaborative Healthcare LLC?
- Collaborative Healthcare LLC is classified in the NPPES registry as Physical Medicine & Rehabilitation Physician (Allopathic & Osteopathic Physicians).
- Where is Collaborative Healthcare LLC located?
- Collaborative Healthcare LLC's practice location on file with NPPES is 716 Old Cherokee Rd, Lexington, SC 29072-9406.
- What is Collaborative Healthcare LLC's phone number?
- The practice phone number listed in the NPPES registry for Collaborative Healthcare LLC is (803) 359-2273.
- Does Collaborative Healthcare LLC accept Medicare?
- Collaborative Healthcare LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Collaborative Healthcare LLC?
- The authorized official listed on Collaborative Healthcare LLC's NPPES record is Shane Conner, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Collaborative Healthcare LLC's NPI active?
- Yes — Collaborative Healthcare LLC's NPI (1174961882) is active in the NPPES registry as of the last update on 2013-06-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.