Active NPI
Island Physical Therapy
- Rehabilitation Hospital Unit
- Hardeeville, SC
National Provider Identifier
1174851059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Hospital Unit
- 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 REHABILITATION
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.