NPIMap

Organization Active NPI

Austin Rehab Services

  • Physical Therapy Clinic/Center
  • Union, SC
National Provider Identifier
1366512006
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
261QP2000X Issued in SC
Legal business name
AUSTIN REHAB SERVICES
Practice address
720A S Duncan Byp
Union, SC 29379-7830
Phone
(864) 429-3003
Fax
(864) 429-3095
NPI assigned
Nov 9, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Julie Elliott
Title
Ofice Manager
Phone
(864) 429-3003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 261QP2000X SC Primary

Addresses

Primary practice location

720A S Duncan Byp
Union, SC 29379-7830

Mailing address

720A S Duncan Byp
Union, SC 29379-7830
Phone (864) 429-3003

Other identifiers 1

IdentifierTypeStateIssuer
GP3003MedicaidSC

National Provider Directory

National Provider Directory

Locations

720A S Duncan Byp
Union, SC 29379
Phone (864) 429-3003

Practitioners & affiliated clinicians

Practitioners 6

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": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366512006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720A S DUNCAN BYP",
            "city": "UNION",
            "state": "SC",
            "postal_code": "293797830",
            "telephone_number": "864-429-3003",
            "fax_number": "864-429-3095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720A S DUNCAN BYP",
            "city": "UNION",
            "state": "SC",
            "postal_code": "293797830",
            "telephone_number": "864-429-3003",
            "fax_number": "864-429-3095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN REHAB SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OFICE MANAGER",
        "authorized_official_telephone_number": "864-429-3003",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "SC",
            "license": "261QP2000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3003",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.