IndividualActive
Jill Beasenburg, PT
NPI 1871543033 · Pediatric Physical Therapist · Awendaw, SC
Provider details
- NPI number
- 1871543033
- Entity type
- Individual
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- License
- 4236 (SC)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
856 Grannys Ln
Awendaw, SC 29429-6060
Phone: (843) 259-4633
Fax: (843) 388-4498
Approximate (ZIP-level) locationGet directions
Mailing address
636 Long Point Rd Unit G
Mt Pleasant, SC 29464-8286
Registry dates
- Enumerated
- 2006-05-10
- Last updated
- 2019-05-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.