NPIMap

Organization Active NPI

Clemson Sports Medicine and Rehabilitation

  • Durable Medical Equipment & Medical Supplies
  • Seneca, SC
National Provider Identifier
1396977955
Registry record updated Aug 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CLEMSON SPORTS MEDICINE AND REHABILITATION
Practice address
12023 N Radio Station Rd Ste a
Seneca, SC 29678-1143
Phone
(864) 985-0770
Fax
(864) 985-1770
NPI assigned
Aug 17, 2009
Organization subpart
Yes
Parent organization
CLEMSON SPORTS MEDICINE AND REHABILITATION INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 17, 2009

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

Authorized official

Name
Jennifer Wilmot
Title
A/R Supervisor
Phone
(864) 482-0064

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

12023 N Radio Station Rd Ste a
Seneca, SC 29678-1143

Mailing address

PO Box 1844
Clemson, SC 29633-1844
Phone (864) 482-0064

National Provider Directory

National Provider Directory
Tax ID family
Clemson Sports Medicine35 organizations share this tax ID, including this one
Part of
Clemson Sports Medicine

Other organizations with this tax ID 34

Organizations that report the same tax identification number in the National Provider Directory.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1250467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250467200000",
    "number": "1396977955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1844",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296331844",
            "telephone_number": "864-482-0064",
            "fax_number": "864-482-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12023 N RADIO STATION RD STE A",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296781143",
            "telephone_number": "864-985-0770",
            "fax_number": "864-985-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEMSON SPORTS MEDICINE AND REHABILITATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLEMSON SPORTS MEDICINE AND REHABILITATION INC",
        "enumeration_date": "2009-08-17",
        "last_updated": "2009-08-17",
        "status": "A",
        "authorized_official_last_name": "WILMOT",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "A/R SUPERVISOR",
        "authorized_official_telephone_number": "864-482-0064"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seneca, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2009; 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.