Charleston Injury and Rehab LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CHARLESTON INJURY AND REHAB LLC

Practice address

5422 Rivers Ave
North Charleston, SC 29406-6129

Phone

(931) 210-4434

NPI assigned

Dec 7, 2023

Organization subpart

No

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

Authorized official

Name

Jonathan RobertsonNPI 1518146307

Title

Co-Owner

Phone

(931) 210-4434

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jonathan Mitchell Robertson, D.C.

  • Chiropractor
  • Georgetown, SC
  • NPI 1518146307
  NPD Authorized official

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

{
    "created_epoch": "1701907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1255108478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 HIGHMARKET ST",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294402910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5422 RIVERS AVE",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294066129",
            "telephone_number": "931-210-4434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLESTON INJURY AND REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-07",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "931-210-4434"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charleston County Government (Charleston Center)
• Charleston Denture Center - Norht Charleston, P.C.
• Charleston Dermatology, PC
• Charleston ENT Associates, LLC
• Charleston Hyperbaric Medicine Inc.
• Charleston Medical Investors, LLC (Life Care Center of Charleston)
• Charleston Nephrology Associates, LLC
• Charleston Orphan House (Carolina Youth Development Center)
• Charleston Orphan House, Inc (Carolina Youth Development Center)
• Charleston Orphan House, Inc. (Carolina Youth Development Center)

• Chiropractor in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.