NPIMap

Organization Active NPI

Clemson Sports Medicine and Rehabilitation

  • Durable Medical Equipment & Medical Supplies
  • Orangeburg, SC
National Provider Identifier
1306244538
Registry record updated Dec 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CLEMSON SPORTS MEDICINE AND REHABILITATION
Practice address
119 Office Park Dr
Orangeburg, SC 29118-2407
Phone
(803) 536-5509
NPI assigned
Dec 22, 2014
Organization subpart
Yes
Parent organization
CLEMSON SPORTS MEDICINE AND REHABILITATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 22, 2014

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

Authorized official

Name
Stuart Hunter
Title
Owner/President/PT
Phone
(864) 482-0064

Specialties & licenses 1

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

Addresses

Primary practice location

119 Office Park Dr
Orangeburg, SC 29118-2407

Mailing address

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

Other names 1

  • Sports Plus 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": "1419206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419206400000",
    "number": "1306244538",
    "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": "119 OFFICE PARK DR",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291182407",
            "telephone_number": "803-536-5509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEMSON SPORTS MEDICINE AND REHABILITATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLEMSON SPORTS MEDICINE AND REHABILITATION",
        "enumeration_date": "2014-12-22",
        "last_updated": "2014-12-22",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "STUART",
        "authorized_official_title_or_position": "OWNER/PRESIDENT/PT",
        "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": [
        {
            "organization_name": "Sports Plus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orangeburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; 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.