Organization Active NPI

Oasis Physical Medicine,LLC

Doing business as Oasis Physical Medicine & Rehabilitation

  • Physical Medicine & Rehabilitation Physician
  • Columbia, SC
National Provider Identifier
1023338290
Registry record updated Dec 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
OASIS PHYSICAL MEDICINE,LLC
Doing business as
Oasis Physical Medicine & Rehabilitation
Practice address
4010 North Main Street
Suite 2
Columbia, SC 29203-5848
Phone
(803) 786-2300
Fax
(803) 786-1307
NPI assigned
Jun 10, 2010
Last updated
Dec 9, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2015

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

Authorized official

Name
Dr. Beatrice Gamble, D.C.NPI 1891742433
Title
President
Phone
(803) 786-2300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 1043 SC
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 2604 SC
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

4010 North Main Street
Suite 2
Columbia, SC 29203-5848

Mailing address

4010 North Main Street
Columbia, SC 29203-5848
Phone (803) 786-2300

Other names 1

  • Oasis Physical Medicine & Rehabilitation Doing business as

National Provider Directory

National Provider Directory

Locations

4010 N Main St
Columbia, SC 29203
Phone (803) 786-2300

4010 N Main St
#2
Columbia, SC 29203
Phone (803) 786-0559

1475 Amelia St
Orangeburg, SC 29115
Phone (803) 531-2936

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449619200000",
    "number": "1023338290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 NORTH MAIN STREET",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292035848",
            "telephone_number": "803-786-2300",
            "fax_number": "803-786-1307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 NORTH MAIN STREET",
            "address_2": "SUITE 2",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292035848",
            "telephone_number": "803-786-2300",
            "fax_number": "803-786-1307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OASIS PHYSICAL MEDICINE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-10",
        "last_updated": "2015-12-09",
        "status": "A",
        "authorized_official_last_name": "GAMBLE",
        "authorized_official_first_name": "BEATRICE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-786-2300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "1043",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2604",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oasis Physical Medicine & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 9, 2015; 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.