Organization Active NPI

Ross Rehab and Performance, LLC

  • Physical Therapy Clinic/Center
  • West Columbia, SC
National Provider Identifier
1104643584
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
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

Updated by the provider on Jun 18, 2025

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

Authorized official

Name
Mrs. Brooke Ross, PT, DPTNPI 1700411519
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.