NPIMap

Organization Active NPI

Island Physical Therapy & Sports Rehab

  • Durable Medical Equipment & Medical Supplies
  • Hilton Head Island, SC
National Provider Identifier
1285865279
Registry record updated Aug 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ISLAND PHYSICAL THERAPY & SPORTS REHAB
Practice address
15 Lafayette PL
Hilton Head Island, SC 29926-2276
Phone
(843) 342-3012
Fax
(843) 342-9768
NPI assigned
Aug 7, 2009
Last updated
Aug 7, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
CLEMSON SPORTS MEDICINE & REHABILITATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 7, 2009

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

Authorized official

Name
Jennifer Wilmot
Title
A/R Supervisor
Phone
(864) 482-0064

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

15 Lafayette PL
Hilton Head Island, SC 29926-2276

Mailing address

15 E Lafayette Place
Hilton Head, SC 29926-2276
Phone (843) 342-3012

National Provider Directory

National Provider Directory
Tax ID family
The Balance Mobility Dizziness Center35 organizations share this tax ID, including this one
Part of
The Balance Mobility Dizziness Center

Other organizations with this tax ID 34

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

View all 34

Locations

15 Lafayette Pl
Hilton Head Island, SC 29926
Phone (843) 342-3012

NPI Registry JSON

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

{
    "created_epoch": "1249603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249603200000",
    "number": "1285865279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 E LAFAYETTE PLACE",
            "city": "HILTON HEAD",
            "state": "SC",
            "postal_code": "299262276",
            "telephone_number": "843-342-3012",
            "fax_number": "843-342-9768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 LAFAYETTE PL",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299262276",
            "telephone_number": "843-342-3012",
            "fax_number": "843-342-9768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND PHYSICAL THERAPY & SPORTS REHAB",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLEMSON SPORTS MEDICINE & REHABILITATION",
        "enumeration_date": "2009-08-07",
        "last_updated": "2009-08-07",
        "status": "A",
        "authorized_official_last_name": "WILMOT",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "A/R SUPERVISOR",
        "authorized_official_telephone_number": "864-482-0064"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilton Head Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2009; 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.