NPIMap

Organization Active NPI

Austin Rehab of Union, LLC

  • Physical Therapist
  • Union, SC
National Provider Identifier
1104957919
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1341 Issued in SC
Legal business name
AUSTIN REHAB OF UNION, LLC
Practice address
720 A S Duncan by Pass
Union, SC 29379
Phone
(864) 429-3003
NPI assigned
Mar 7, 2007
Last updated
Jun 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Authorized official

Name
Mr. Owen K Woolever, P.T.
Title
Primary Owner
Phone
(864) 429-3003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1341 SC Primary

Addresses

Primary practice location

720 A S Duncan by Pass
Union, SC 29379

Mailing address

720 A S Duncan by Pass
Union, SC 29379
Phone (864) 429-3003

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080613000506 SC Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 1658442983 Practice locations: Spartanburg, SC; Union, SC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1104957919. Details of each certification follow.

  • CCN 426606 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 426606

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
AUSTIN REHAB OF UNION, LLC
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Oct 14, 1997
Last certification
Jan 12, 2022
Ownership / control type
Proprietary
Most recent change of ownership
Jul 1, 2007
Facility address
720 A Duncan Bypass
Union, SC 29379

National Provider Directory

National Provider Directory

Locations

720 S Duncan Byp
#A
Union, SC 29379
Phone (864) 429-3003

Practitioners & affiliated clinicians

Practitioners 7

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": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1104957919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 A S DUNCAN BY PASS",
            "city": "UNION",
            "state": "SC",
            "postal_code": "29379",
            "telephone_number": "864-429-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 A S DUNCAN BY PASS",
            "city": "UNION",
            "state": "SC",
            "postal_code": "29379",
            "telephone_number": "864-429-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN REHAB OF UNION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "WOOLEVER",
        "authorized_official_first_name": "OWEN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRIMARY OWNER",
        "authorized_official_telephone_number": "864-429-3003",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "1341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, SC

Sources for this page

Verify at the official NPI Registry.