NPIMap

Organization Active NPI

Clemson Sports Medicine and Rehabilitation, Inc.

  • Rehabilitation Hospital Unit
  • North Charleston, SC
National Provider Identifier
1295810273
Registry record updated Apr 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
Legal business name
CLEMSON SPORTS MEDICINE AND REHABILITATION, INC.
Practice address
9241 University Blvd
Suite B-1
North Charleston, SC 29406-9349
Phone
(843) 764-4887
Fax
(843) 764-4509
NPI assigned
Oct 26, 2006
Organization subpart
Yes
Parent organization
CLEMSON SPORTS MEDICINE & REHABILITATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 26, 2016

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

Authorized official

Name
Lisa Crane
Title
A/R Supervisor
Phone
(864) 482-0064

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X
Rehabilitation Hospital Unit 273Y00000X Primary

Addresses

Primary practice location

9241 University Blvd
Suite B-1
North Charleston, SC 29406-9349

Mailing address

PO Box 1844
Clemson, SC 29633-1844
Phone (864) 482-0064

Other names 1

  • Balance Dizziness & Mobility Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Clemson Sports Medicine35 organizations share this tax ID, including this one
Part of
Clemson Sports Medicine

Other organizations with this tax ID 34

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

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461628800000",
    "number": "1295810273",
    "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",
            "fax_number": "864-482-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9241 UNIVERSITY BLVD",
            "address_2": "SUITE B-1",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069349",
            "telephone_number": "843-764-4887",
            "fax_number": "843-764-4509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEMSON SPORTS MEDICINE AND REHABILITATION, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLEMSON SPORTS MEDICINE & REHABILITATION",
        "enumeration_date": "2006-10-26",
        "last_updated": "2016-04-26",
        "status": "A",
        "authorized_official_last_name": "CRANE",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "A/R SUPERVISOR",
        "authorized_official_telephone_number": "864-482-0064"
    },
    "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": [
        {
            "organization_name": "Balance Dizziness & Mobility Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.