Clemson Sports Medicine and Rehabilitation Inc

Primary specialty

Rehabilitation Hospital UnitTaxonomy code 273Y00000X

Legal business name

CLEMSON SPORTS MEDICINE AND REHABILITATION INC

Practice address

838 Powdersville Rd
Suite T
Easley, SC 29642-3703

Phone

(864) 671-1650

Fax

(864) 442-2053

NPI assigned

Dec 1, 2015

Organization subpart

Yes

Parent organization

CLEMSON SPORTS MEDICINE AND REHABILITATION INCAs reported in NPPES

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

Authorized official

Name

Ms. Jennifer McQuillen

Title

Contracting Rep

Phone

(864) 482-0064

Specialties & licenses 2

Addresses

Part of

Clemson Sports Medicine

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

{
    "created_epoch": "1448928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454025600000",
    "number": "1275908352",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "838 POWDERSVILLE RD",
            "address_2": "SUITE T",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296423703",
            "telephone_number": "864-671-1650",
            "fax_number": "864-442-2053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEMSON SPORTS MEDICINE AND REHABILITATION INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLEMSON SPORTS MEDICINE AND REHABILITATION INC",
        "enumeration_date": "2015-12-01",
        "last_updated": "2016-01-29",
        "status": "A",
        "authorized_official_last_name": "MCQUILLEN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CONTRACTING REP",
        "authorized_official_telephone_number": "864-482-0064",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khori Cioli, AU.D.
• Kristy Cisneros, LPC-A
• Corey Clardy, PHARMD
• Jennifer E Clayton, RN
• Robert M. Clayton Jr., M.D.
• Marian Barton Clinch, MD
• Grant Lee Cluxton, FNP
• Shannon Cobb, MSPT
• Florence Snyder Coggin, MS, CCC-SLP
• Sharon Delois Coggin, PA-C

• Rehabilitation Hospital Unit in Easley, SC
• Providers in Easley, SC by specialty
• Rehabilitation Hospital Unit in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2016; 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.