NPIMap

Organization Active NPI

TX: Team Rehab Inc.

  • Physical Therapist
  • Mount Pleasant, SC
National Provider Identifier
1396795142
Registry record updated Jun 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1904 Issued in SC
Legal business name
TX: TEAM REHAB INC.
Practice address
3100 Tradition Cir
Mt Pleasant, SC 29466-7200
Phone
(843) 694-7945
Fax
(843) 884-6481
NPI assigned
May 11, 2006
Last updated
Jun 12, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2019

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

Authorized official

Name
Mr. Scott S Benedict
Title
Ceo
Phone
(317) 884-3383

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 1904 SC Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 5729 SC
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 7188 SC
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 3701 SC
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 1116 SC
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 2603 SC
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 3936 SC
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 4296 SC
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 4833 SC
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 5475 SC

Addresses

Primary practice location

3100 Tradition Cir
Mt Pleasant, SC 29466-7200

Mailing address

9101 Wesleyan Rd Ste 100
Indianapolis, IN 46268-3103
Phone (800) 603-6046

Other names 1

  • Tx:Team Rehab Inc. Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA, AL, TN4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20031216000134 SC Part B Supplier - Clinic/Group Practice 1759288087 Receives reassigned benefits from 7 practitioners
Practice locations: Mount Pleasant, SC
O20160331000728 GA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1759288087 Receives reassigned benefits from 7 practitioners
Practice locations: Peachtree City, GA; Sandy Springs, GA
O20170331001295 AL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1759288087 Receives reassigned benefits from 16 practitioners
Practice locations: Mobile, AL; Tuscaloosa, AL; Hoover, AL; Huntsville, AL; Auburn, AL; Fairhope, AL
O20190319000207 TN Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1759288087 Receives reassigned benefits from 5 practitioners
Practice locations: Franklin, TN

National Provider Directory

National Provider Directory

Locations

8777 Purdue Rd
Ste 330
Indianapolis, IN 46268

8910 Purdue Rd
Ste 700
Indianapolis, IN 46268

870 Oak Meadow Dr
Franklin, TN 37064
Phone (615) 721-5452

Practitioners & affiliated clinicians

Practitioners 48

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.

View all 48

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560297600000",
    "number": "1396795142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9101 WESLEYAN RD STE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462683103",
            "telephone_number": "800-603-6046",
            "fax_number": "317-884-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 TRADITION CIR",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294667200",
            "telephone_number": "843-694-7945",
            "fax_number": "843-884-6481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TX: TEAM REHAB INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2019-06-12",
        "status": "A",
        "authorized_official_last_name": "BENEDICT",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-884-3383",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "1904",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "5729",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "7188",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "3701",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "1116",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "2603",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "3936",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "4296",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "4833",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "5475",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tx:Team Rehab Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Tx:Team Rehab Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.