NPIMap

Organization Active NPI

Clemson Sports Medicine and Rehabilitation, Inc.

Doing business as Sports Plus

  • Durable Medical Equipment & Medical Supplies
  • N Charleston, SC
National Provider Identifier
1205062619
Registry record updated Apr 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CLEMSON SPORTS MEDICINE AND REHABILITATION, INC.
Doing business as
Sports Plus
Practice address
2881 Tricom St
Suite B
N Charleston, SC 29406-9823
Phone
(843) 797-7095
Fax
(843) 797-7097
NPI assigned
Jun 1, 2009
Last updated
Apr 25, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
CLEMSON SPORTS MEDICINE & REHABILITATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 25, 2012

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
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

2881 Tricom St
Suite B
N Charleston, SC 29406-9823

Mailing address

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

Other names 1

  • Sports Plus Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Island Physical Therapy35 organizations share this tax ID, including this one
Part of
Island Physical Therapy

Other organizations with this tax ID 34

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

View all 34

Locations

2881 Tricom St
Ste B
North Charleston, SC 29406
Phone (843) 797-5050

NPI Registry JSON

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

{
    "created_epoch": "1243814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335312000000",
    "number": "1205062619",
    "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": "864-482-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2881 TRICOM ST",
            "address_2": "SUITE B",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294069823",
            "telephone_number": "843-797-7095",
            "fax_number": "843-797-7097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEMSON SPORTS MEDICINE AND REHABILITATION, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLEMSON SPORTS MEDICINE & REHABILITATION",
        "enumeration_date": "2009-06-01",
        "last_updated": "2012-04-25",
        "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": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sports Plus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in N Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; 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.