NPIMap

Organization Active NPI

Human Performance and Rehabilitation Centers, Inc.

  • Occupational Therapist
  • Columbia, SC
National Provider Identifier
1417029513
Registry record updated Jun 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
HUMAN PERFORMANCE AND REHABILITATION CENTERS, INC.
Practice address
1910 Blanding St
Columbia, SC 29201-3520
Phone
(803) 253-6721
Fax
(803) 799-8177
NPI assigned
Nov 14, 2006
Last updated
Jun 26, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
HUMAN PERFORMANCE AND REHABILITATION CENTERS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 26, 2009

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

Authorized official

Name
Mr. Brian S McCluskey, PH.D.
Title
President
Phone
(706) 322-7762

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X SC
Physical Therapist 225100000X SC
Occupational Therapist 225X00000X SC Primary

Addresses

Primary practice location

1910 Blanding St
Columbia, SC 29201-3520

Mailing address

PO Box 8068
Columbus, GA 31908-8068
Phone (803) 253-6721

Other identifiers 1

IdentifierTypeStateIssuer
GP1100MedicaidSC

National Provider Directory

National Provider Directory
Part of
Human Performance and R

Member organizations 6

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245974400000",
    "number": "1417029513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8068",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319088068",
            "telephone_number": "803-253-6721",
            "fax_number": "803-799-8177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 BLANDING ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292013520",
            "telephone_number": "803-253-6721",
            "fax_number": "803-799-8177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMAN PERFORMANCE AND REHABILITATION CENTERS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HUMAN PERFORMANCE AND REHABILITATION CENTERS, INC.",
        "enumeration_date": "2006-11-14",
        "last_updated": "2009-06-26",
        "status": "A",
        "authorized_official_last_name": "MCCLUSKEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-322-7762",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "SC",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP1100",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.