Active NPI
Ross Rehab and Performance, LLC
- Physical Therapy Clinic/Center
- West Columbia, SC
National Provider Identifier
1104643584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- ROSS REHAB AND PERFORMANCE, LLC
- Practice address
- 614 Spring St
West Columbia, SC 29169-7214 - Phone
- (864) 915-7321
- NPI assigned
- Sep 25, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Brooke Ross, PT, DPT
- Title
- Physical Therapist
- Phone
- (980) 317-5006
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
614 Spring St
West Columbia, SC 29169-7214
Mailing address
99 Jackson St Unit 215
Davidson, NC 28036-9810
Phone (980) 317-5006
National Provider Directory
National Provider DirectoryLocations
99 Jackson St
Unit 215
Davidson, NC 28036
Phone (980) 317-5006
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Davidson, NC
- NPI 1700411519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727222400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750204800000",
"number": "1104643584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 JACKSON ST UNIT 215",
"city": "DAVIDSON",
"state": "NC",
"postal_code": "280369810",
"telephone_number": "980-317-5006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "614 SPRING ST",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291697214",
"telephone_number": "864-915-7321"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROSS REHAB AND PERFORMANCE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-25",
"last_updated": "2025-06-18",
"certification_date": "2025-06-18",
"status": "A",
"authorized_official_last_name": "ROSS",
"authorized_official_first_name": "BROOKE",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "980-317-5006",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "PT, DPT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.