Organization Active NPI

North Augusta Rehab Health Center LLC

  • Physical Therapy Clinic/Center
  • North Augusta, SC
National Provider Identifier
1073778742
Registry record updated Jun 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
NORTH AUGUSTA REHAB HEALTH CENTER LLC
Practice address
105 Hugh Street
Suite B
North Augusta, SC 29841
Phone
(803) 426-2000
Fax
(803) 426-2041
NPI assigned
Jul 22, 2008
Last updated
Jun 24, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2009

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

Authorized official

Name
Lavelle R Hardin
Title
Managed Care Analyst
Phone
(615) 344-8203

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

105 Hugh Street
Suite B
North Augusta, SC 29841

Mailing address

105 Hugh Street
Suite B
North Augusta, SC 29841
Phone (803) 426-2000

Other identifiers 1

IdentifierTypeStateIssuer
GP5177MedicaidSC

National Provider Directory

National Provider Directory

Locations

105 E Hugh St
#B
North Augusta, SC 29841
Phone (803) 426-2000

105 E Hugh St
Ste B
North Augusta, SC 29841
Phone (803) 426-2000

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": "1216684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245801600000",
    "number": "1073778742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 HUGH STREET",
            "address_2": "SUITE B",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "29841",
            "telephone_number": "803-426-2000",
            "fax_number": "803-426-2041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 HUGH STREET",
            "address_2": "SUITE B",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "29841",
            "telephone_number": "803-426-2000",
            "fax_number": "803-426-2041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH AUGUSTA REHAB HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-22",
        "last_updated": "2009-06-24",
        "status": "A",
        "authorized_official_last_name": "HARDIN",
        "authorized_official_first_name": "LAVELLE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGED CARE ANALYST",
        "authorized_official_telephone_number": "615-344-8203"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP5177",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Augusta, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2009; 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.