Accident Injury and Rehabilitation PC

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X

License

11313 Issued in SC

Legal business name

ACCIDENT INJURY AND REHABILITATION PC

Practice address

507 W Palmetto St
Florence, SC 29501-4427

Phone

(843) 669-1010

Fax

(843) 669-1054

NPI assigned

Mar 21, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer McKay

Title

Office Manger

Phone

(843) 669-1010

Specialties & licenses 6

Addresses

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Accident Injury and Rehabilitation PC

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Florence, SC
  • NPI 1992123822
  NPPES parent name

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423440000000",
    "number": "1366567778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 W PALMETTO ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014427",
            "telephone_number": "843-669-1010",
            "fax_number": "843-669-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 W PALMETTO ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014427",
            "telephone_number": "843-669-1010",
            "fax_number": "843-669-1054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCIDENT INJURY AND REHABILITATION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2015-02-09",
        "status": "A",
        "authorized_official_last_name": "MCKAY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OFFICE MANGER",
        "authorized_official_telephone_number": "843-669-1010",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "SC",
            "license": "2474",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "SC",
            "license": "3406",
            "primary": false
        },
        {
            "code": "204C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "SC",
            "license": "11313",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "11313",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SC",
            "license": "6253900001",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "1091",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Accident Injury and Rehabilitation PC
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• Achievabilities
• Bridget Acquah-Baidoo
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• All providers in Florence, SC
• Sports Medicine (Neuromusculoskeletal Medicine) Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; 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.