Organization Active NPI

Upstate Rehab Services

  • Rehabilitation Clinic/Center
  • Anderson, SC
National Provider Identifier
1144815077
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
UPSTATE REHAB SERVICES
Practice address
120 Mutual Dr
Anderson, SC 29621-1767
Phone
(864) 261-3313
Fax
(864) 261-3371
NPI assigned
Mar 3, 2021
Last updated
Mar 3, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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

Authorized official

Name
David Lee Keese, PTNPI 1609824887
Title
Owner
Phone
(864) 221-8240

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
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

120 Mutual Dr
Anderson, SC 29621-1767

Mailing address

120 Mutual Dr
Anderson, SC 29621-1767
Phone (864) 261-3313

National Provider Directory

National Provider Directory

Locations

120 Mutual Dr
Anderson, SC 29621
Phone (864) 261-3313

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1614729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614729600000",
    "number": "1144815077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 MUTUAL DR",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296211767",
            "telephone_number": "864-261-3313",
            "fax_number": "864-261-3371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MUTUAL DR",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296211767",
            "telephone_number": "864-261-3313",
            "fax_number": "864-261-3371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSTATE REHAB SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-03",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A",
        "authorized_official_last_name": "KEESE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-221-8240",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; 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.