NPIMap

Organization Active NPI

University of South Carolina Physical Therapy Clinic

  • Physical Therapist
  • Columbia, SC
National Provider Identifier
1003929746
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
UNIVERSITY OF SOUTH CAROLINA PHYSICAL THERAPY CLINIC
Practice address
Blatt Physical Education Ctr
1300 Wheat Street Room 104
Columbia, SC 29208-0001
Phone
(803) 777-0486
Fax
(803) 777-8422
NPI assigned
Aug 16, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nancy Cornette
Title
Business Manager
Phone
(803) 777-0486

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

Blatt Physical Education Ctr
1300 Wheat Street Room 104
Columbia, SC 29208-0001

Mailing address

1300 Wheat Street
Blatt Pe Center Room 104
Columbia, SC 29208
Phone (803) 777-0486

National Provider Directory

National Provider Directory
Tax ID family
Thomson Student Health Center12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1300 Wheat St
Rm 104
Columbia, SC 29201

Blatt Physical Education Ctr
Columbia, SC 29208
Phone (803) 777-0486

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003929746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 WHEAT STREET",
            "address_2": "BLATT PE CENTER ROOM 104",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29208",
            "telephone_number": "803-777-0486",
            "fax_number": "803-777-8422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLATT PHYSICAL EDUCATION CTR",
            "address_2": "1300 WHEAT STREET ROOM 104",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292080001",
            "telephone_number": "803-777-0486",
            "fax_number": "803-777-8422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF SOUTH CAROLINA PHYSICAL THERAPY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CORNETTE",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "803-777-0486"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.