Piedmont Rehabilitation Medicine

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

MD15580 Issued in SC

Legal business name

PIEDMONT REHABILITATION MEDICINE

Practice address

160 Harold Fleming CT
Spartanburg, SC 29303

Phone

(864) 594-9600

Fax

(864) 594-9823

NPI assigned

Aug 15, 2007

Last updated

Jul 31, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Niedra Robinson

Title

Credentialing Manager

Phone

(817) 284-9850

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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.

• Richard Boulware, P.A.

  • Medical Physician Assistant
  • Charlotte, NC
  • NPI 1124144043
  NPD (past)
• Kierney Elizabeth Jackson, PA

  • Physician Assistant
  • Gainesville, GA
  • NPI 1003057621
  NPD (past)

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532995200000",
    "number": "1386836120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 678361",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752678361",
            "telephone_number": "817-284-9850",
            "fax_number": "817-284-3425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 HAROLD FLEMING CT",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "29303",
            "telephone_number": "864-594-9600",
            "fax_number": "864-594-9823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT REHABILITATION MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-15",
        "last_updated": "2018-07-31",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "NIEDRA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "817-284-9850"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "SC",
            "license": "MD15580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Piedmont Imaging Inc (Piedmont Imaging at Westgate)
• Piedmont Imaging, LLC
• Piedmont Medical Supply, Inc
• Piedmont Orthodontic Associates PA
• Piedmont Periodontics & Implant Dentistry LLC
• Ethan Charles Pierce, PA-C
• Kimberly Pierce, PA-C
• Nicole Marcantonio Pierce, LISW-CP
• Cassandra Waters Pike, DPM
• Michael David Pilat, RN

• Physical Medicine & Rehabilitation Physician in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Physical Medicine & Rehabilitation Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; 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.