NPIMap

Organization Active NPI

Palmetto Neuromuscular Associates

  • Rehabilitation Clinic/Center
  • Aiken, SC
National Provider Identifier
1366564007
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
4606 Issued in SC
Legal business name
PALMETTO NEUROMUSCULAR ASSOCIATES
Practice address
958 Millbrook Ave
Suite One
Aiken, SC 29803-0603
Phone
(803) 649-0599
Fax
(803) 502-1481
NPI assigned
Apr 4, 2007
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
Mr. Jon David Cansler, LMT, NCTMB, M.A., CM
Title
President
Phone
(803) 649-0599

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X 4606 SC Primary
Rehabilitation Clinic/Center 261QR0400X 4637 SC

Addresses

Primary practice location

958 Millbrook Ave
Suite One
Aiken, SC 29803-0603

Mailing address

958 Millbrook Ave
Suite One
Aiken, SC 29803-0603
Phone (803) 649-0599

National Provider Directory

National Provider Directory

Locations

958 Millbrook Ave
Ste 1
Aiken, SC 29803
Phone (803) 649-0599

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366564007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "958 MILLBROOK AVE",
            "address_2": "SUITE ONE",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298030603",
            "telephone_number": "803-649-0599",
            "fax_number": "803-502-1481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "958 MILLBROOK AVE",
            "address_2": "SUITE ONE",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298030603",
            "telephone_number": "803-649-0599",
            "fax_number": "803-502-1481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO NEUROMUSCULAR ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CANSLER",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-649-0599",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMT, NCTMB, M.A., CM"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "SC",
            "license": "4606",
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "SC",
            "license": "4637",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, 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.