NPIMap

Organization Active NPI

Three Rivers Therapy Associates, Inc.

  • Rehabilitation Clinic/Center
  • Hemingway, SC
National Provider Identifier
1326084849
Registry record updated Aug 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
THREE RIVERS THERAPY ASSOCIATES, INC.
Practice address
401 N Main St
Suite B
Hemingway, SC 29554-9191
Phone
(843) 558-4830
Fax
(843) 558-7752
NPI assigned
Jun 22, 2006
Last updated
Aug 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2012

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

Authorized official

Name
Mrs. Stacey L Howell, PT
Title
Owner
Phone
(843) 558-4830

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X SC Primary

Addresses

Primary practice location

401 N Main St
Suite B
Hemingway, SC 29554-9191

Mailing address

401 N Main St
Suite B
Hemingway, SC 29554-9191
Phone (843) 558-4830

Other names 1

  • Three Rivers Therapy Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060308000337 SC Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 6709893209 Practice locations: Florence, SC; Hemingway, SC
O20230329002108 SC Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6709893209 Receives reassigned benefits from 2 practitioners
Practice locations: Hemingway, SC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1326084849. Details of each certification follow.

  • CCN 426611 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 426611

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
THREE RIVERS THERAPY ASSOCIATES INC
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Apr 22, 1999
Last certification
Feb 3, 2022
Ownership / control type
Proprietary
Facility address
401 North Main Street Suite B
Hemingway, SC 29554

National Provider Directory

National Provider Directory

Locations

401 2nd Loop Rd
Ste A
Florence, SC 29505
Phone (843) 669-3665

1711 N Fraser St
Georgetown, SC 29440
Phone (843) 527-2425

401 N Main St
Ste B
Hemingway, SC 29554
Phone (843) 558-4830

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345075200000",
    "number": "1326084849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N MAIN ST",
            "address_2": "SUITE B",
            "city": "HEMINGWAY",
            "state": "SC",
            "postal_code": "295549191",
            "telephone_number": "843-558-4830",
            "fax_number": "843-558-7752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N MAIN ST",
            "address_2": "SUITE B",
            "city": "HEMINGWAY",
            "state": "SC",
            "postal_code": "295549191",
            "telephone_number": "843-558-4830",
            "fax_number": "843-558-7752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE RIVERS THERAPY ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2012-08-16",
        "status": "A",
        "authorized_official_last_name": "HOWELL",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-558-4830",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Three Rivers Therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hemingway, SC

Sources for this page

Verify at the official NPI Registry.