Provider Demographics
NPI:1730438615
Name:SILLIVANT, REBEKAH PLAYER (PHYSICAL THERAPIST)
Entity type:Individual
Prefix:
First Name:REBEKAH
Middle Name:PLAYER
Last Name:SILLIVANT
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4350 SAINT ANDREWS RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29210-4169
Mailing Address - Country:US
Mailing Address - Phone:803-633-9673
Mailing Address - Fax:
Practice Address - Street 1:123 GIBSON RD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:SC
Practice Address - Zip Code:29072-3488
Practice Address - Country:US
Practice Address - Phone:803-339-6736
Practice Address - Fax:803-676-3059
Is Sole Proprietor?:No
Enumeration Date:2012-09-06
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2299225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist