Clemson Sports Medicine and Rehabilitation

Primary specialty

Rehabilitation Hospital UnitTaxonomy code 273Y00000X

Legal business name

CLEMSON SPORTS MEDICINE AND REHABILITATION

Doing business as

Mount Pleasant Physical Therapy

Practice address

306 Station 22 1/2 St
Sullivans Island, SC 29482-9756

Phone

(843) 883-0054

Fax

(843) 883-0064

NPI assigned

Oct 26, 2006

Organization subpart

Yes

Parent organization

CLEMSON SPORTS MEDICINE AND REHABILITATIONAs reported in NPPES

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

Authorized official

Name

Stuart Hunter

Title

President/Owner/PT

Phone

(864) 482-0064

Specialties & licenses 2

Addresses

Other names 1

• Mount Pleasant Physical Therapy Doing business as

Part of

Clemson Sports Medicine

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460937600000",
    "number": "1093890170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1844",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296331844",
            "telephone_number": "864-482-0064",
            "fax_number": "864-482-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 STATION 22 1/2 ST",
            "city": "SULLIVANS ISLAND",
            "state": "SC",
            "postal_code": "294829756",
            "telephone_number": "843-883-0054",
            "fax_number": "843-883-0064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEMSON SPORTS MEDICINE AND REHABILITATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLEMSON SPORTS MEDICINE AND REHABILITATION",
        "enumeration_date": "2006-10-26",
        "last_updated": "2016-04-18",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "STUART",
        "authorized_official_title_or_position": "PRESIDENT/OWNER/PT",
        "authorized_official_telephone_number": "864-482-0064"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mount Pleasant Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charmian Webb Bixler, MSPAS, PA-C
• Mary Bodzy, PHD
• Eloise Daniel Bradham, M.D
• Cameron Brotherton, DPT
• Krista Cino, PT
• Joanne G. Cole
• Emily Yarbrough Condon, M.D.
• Michael Cummings, MPT
• Emily Curran, RN
• Isabella Ann Dolega-Kowalewski, P.T.

• Rehabilitation Hospital Unit in Sullivans Island, SC
• Providers in Sullivans Island, SC by specialty
• Rehabilitation Hospital Unit in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; 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.