Organization Active NPI

Island Physical Therapy

  • Rehabilitation Hospital Unit
  • Hardeeville, SC
National Provider Identifier
1174851059
Registry record updated Dec 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
Legal business name
ISLAND PHYSICAL THERAPY
Practice address
300 New River Pkwy
Suite 40
Hardeeville, SC 29927-4450
Phone
(843) 208-2727
Fax
(843) 208-2728
NPI assigned
Dec 3, 2009
Organization subpart
Yes
Parent organization
CLEMSON SPORTS MEDICINE AND REHABILITATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 4, 2009

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

Authorized official

Name
Debbie Baxter
Title
Credentialing
Phone
(864) 482-0064

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X Primary

Addresses

Primary practice location

300 New River Pkwy
Suite 40
Hardeeville, SC 29927-4450

Mailing address

PO Box 1844
Clemson, SC 29633-1844
Phone (864) 482-0064

National Provider Directory

National Provider Directory
Part of
Clemson Sports Medicine

NPI Registry JSON

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

{
    "created_epoch": "1259798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259884800000",
    "number": "1174851059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1844",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296331844",
            "telephone_number": "864-482-0064",
            "fax_number": "864-482-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 NEW RIVER PKWY",
            "address_2": "SUITE 40",
            "city": "HARDEEVILLE",
            "state": "SC",
            "postal_code": "299274450",
            "telephone_number": "843-208-2727",
            "fax_number": "843-208-2728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND PHYSICAL THERAPY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLEMSON SPORTS MEDICINE AND REHABILITATION",
        "enumeration_date": "2009-12-03",
        "last_updated": "2009-12-04",
        "status": "A",
        "authorized_official_last_name": "BAXTER",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "864-482-0064"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hardeeville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2009; 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.