NPIMap

Organization Active NPI

Oaktree Medical Centre, PC

Doing business as Serenity Rehab and Wellness

  • Multi-Specialty Clinic/Center
  • Greenville, SC
National Provider Identifier
1235116708
Registry record updated Aug 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
OAKTREE MEDICAL CENTRE, PC
Doing business as
Serenity Rehab and Wellness
Practice address
1 Caledon CT
Ste. B
Greenville, SC 29615-3192
Phone
(864) 250-4260
Fax
(864) 250-4261
NPI assigned
Dec 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2008

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

Authorized official

Name
Dr. Daniel A. McCollum
Title
President
Phone
(864) 855-1633

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X SC Primary
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

1 Caledon CT
Ste. B
Greenville, SC 29615-3192

Mailing address

PO Box 484
Easley, SC 29641-0484
Phone (864) 855-1633

Other names 1

  • Serenity Rehab and Wellness Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Oaktree Medical Centre15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

Locations

1 Caledon Ct
#B
Greenville, SC 29615
Phone (864) 250-4260

NPI Registry JSON

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218672000000",
    "number": "1235116708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 484",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296410484",
            "telephone_number": "864-855-1633",
            "fax_number": "864-855-1323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CALEDON CT",
            "address_2": "STE. B",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153192",
            "telephone_number": "864-250-4260",
            "fax_number": "864-250-4261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKTREE MEDICAL CENTRE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-27",
        "last_updated": "2008-08-14",
        "status": "A",
        "authorized_official_last_name": "MCCOLLUM",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-855-1633",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "SC",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Rehab and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.