Individual provider Active NPI

Bruce D Filler

  • Physical Therapist
  • Columbia, SC
National Provider Identifier
1043307614
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
387 Issued in SC
Practice address
2362 Two Notch Rd
Columbia Rehabilitation Clinic
Columbia, SC 29204-2257
Phone
(803) 799-7007
Fax
(803) 256-8410
NPI assigned
Oct 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 387 SC Primary

Addresses

Primary practice location

2362 Two Notch Rd
Columbia Rehabilitation Clinic
Columbia, SC 29204-2257

Mailing address

2362 Two Notch Rd
Columbia Rehabilitation Clinic
Columbia, SC 29204-2257
Phone (803) 799-7007

Other identifiers 1

IdentifierTypeStateIssuer
TH1590MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120105000453 SC Practitioner - Physical Therapist in Private Practice 3072572064 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
387SCMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Rehabilitation Clinic Physical Medicine & Rehabilitation CurrentSince Nov 14, 1994 Accepting new patients
Chapin Physical Therapy LLC Physical Medicine & Rehabilitation Current Accepting new patients
Columbia Rehabilitation Clinic, Inc. Physical Medicine & Rehabilitation CurrentSince Dec 21, 1996 Accepting new patients
Columbia Rehabilitation Clinic Physical Therapist CurrentSince Aug 2, 1977 Accepting new patients
Chapin Rehabilitation Clinic, Inc. PastSince May 21, 2015 Accepting new patients

Locations

420 McNulty St
Ste 3
Blythewood, SC 29016
Phone (803) 728-0421

2362 Two Notch Rd
Ste 10
Columbia, SC 29204
Phone (803) 736-4845

2362 Two Notch Rd
Columbia, SC 29204
Phone (803) 722-8075

1 Wellness Blvd
Ste 204
Irmo, SC 29063
Phone (803) 331-3682

7182 Woodrow St
Ste 102
Irmo, SC 29063
Phone (803) 749-0808

1177 Sunset Blvd
West Columbia, SC 29169
Phone (803) 794-3440

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1043307614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2362 TWO NOTCH RD",
            "address_2": "COLUMBIA REHABILITATION CLINIC",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042257",
            "telephone_number": "803-799-7007",
            "fax_number": "803-256-8410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2362 TWO NOTCH RD",
            "address_2": "COLUMBIA REHABILITATION CLINIC",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042257",
            "telephone_number": "803-799-7007",
            "fax_number": "803-256-8410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FILLER",
        "first_name": "BRUCE",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TH1590",
            "state": "SC"
        }
    ],
    "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 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.