NPIMap

Organization Active NPI

Clemson Sports Medicine and Rehabilitation

  • Rehabilitation Hospital Unit
  • Mt Pleasant, SC
National Provider Identifier
1154727907
Registry record updated Nov 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
Legal business name
CLEMSON SPORTS MEDICINE AND REHABILITATION
Practice address
1909 N Highway 17
Suite Q
Mt Pleasant, SC 29464-7459
Phone
(843) 416-9026
Fax
(843) 531-6223
NPI assigned
Nov 6, 2014
Organization subpart
Yes
Parent organization
CLEMSON SPORTS MEDICINE AND REHABILITATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 6, 2014

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

Authorized official

Name
Jennifer McQuillen
Title
Billing
Phone
(864) 482-0064

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X
Rehabilitation Hospital Unit 273Y00000X Primary

Addresses

Primary practice location

1909 N Highway 17
Suite Q
Mt Pleasant, SC 29464-7459

Mailing address

1909 N Highway 17
Suite Q
Mt Pleasant, SC 29464-7459
Phone (843) 416-9026

Other names 1

  • Mount Pleasant Physical Therapy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Clemson Sports Medicine35 organizations share this tax ID, including this one
Part of
Clemson Sports Medicine

Other organizations with this tax ID 34

Organizations that report the same tax identification number in the National Provider Directory.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1415232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415232000000",
    "number": "1154727907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 N HIGHWAY 17",
            "address_2": "SUITE Q",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294647459",
            "telephone_number": "843-416-9026",
            "fax_number": "843-531-6223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 N HIGHWAY 17",
            "address_2": "SUITE Q",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294647459",
            "telephone_number": "843-416-9026",
            "fax_number": "843-531-6223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEMSON SPORTS MEDICINE AND REHABILITATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLEMSON SPORTS MEDICINE AND REHABILITATION",
        "enumeration_date": "2014-11-06",
        "last_updated": "2014-11-06",
        "status": "A",
        "authorized_official_last_name": "MCQUILLEN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "864-482-0064"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "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"
        }
    ]
}

Other providers in Mt Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; 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.