Southern Orthopaedic Physical Therapy,LLC

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

3168 Issued in SC

Legal business name

SOUTHERN ORTHOPAEDIC PHYSICAL THERAPY,LLC

Practice address

1718 Saint Julian PL
Columbia, SC 29204-2410

Phone

(803) 376-8880

Fax

(803) 376-8881

NPI assigned

Jul 25, 2006

Organization subpart

No

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

Authorized official

Name

Cynthia J Ekman, PYSICAL THERAPIST

Title

President

Phone

(803) 376-8880

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201651200000",
    "number": "1225050271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 SAINT JULIAN PL",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042410",
            "telephone_number": "803-376-8880",
            "fax_number": "803-376-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 SAINT JULIAN PL",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042410",
            "telephone_number": "803-376-8880",
            "fax_number": "803-376-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN ORTHOPAEDIC PHYSICAL THERAPY,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2008-01-30",
        "status": "A",
        "authorized_official_last_name": "EKMAN",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-376-8880",
        "authorized_official_credential": "PYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "SC",
            "license": "3168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Southern Cardiac Imaging, LLC
• Southern Home Care Services, Inc.
• Southern Orthopaedic Sports Medicne
• Southern Pain Specialists
• Southern Roots Periodontics: Implant & Laser Dentistry, LLC
• Southern Smiles Dental Studio Columbia LLC
• Southerncare, Inc.

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Columbia, SC
• Providers in Columbia, SC by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; 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.