NPIMap

Organization Active NPI

Supplemental Health Care

  • Physical Therapy Clinic/Center
  • N Charleston, SC
National Provider Identifier
1548699366
Registry record updated Nov 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
6957 Issued in SC
Legal business name
SUPPLEMENTAL HEALTH CARE
Doing business as
Supplemental Health Care
Practice address
4401 Belle Oaks Dr
Suite 280
N Charleston, SC 29405-8537
Phone
(866) 571-2700
NPI assigned
Nov 2, 2013
Last updated
Nov 2, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2013

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

Authorized official

Name
Mrs. Kristin Garrett Tripp, PT, DPT
Title
Physical Therapist
Phone
(864) 640-9294

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 6957 SC Primary

Addresses

Primary practice location

4401 Belle Oaks Dr
Suite 280
N Charleston, SC 29405-8537

Mailing address

3462 Highway 418
Fountain Inn, SC 29644-4829
Phone (864) 640-9294

Other names 1

  • Supplemental Health Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Supplemantal Health Care Services42 organizations share this tax ID, including this one

Other organizations with this tax ID 41

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

View all 41

Locations

4401 Belle Oaks Dr
Ste 280
North Charleston, SC 29405
Phone (314) 348-1588

Practitioners & affiliated clinicians

Practitioners 16

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 16

NPI Registry JSON

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

{
    "created_epoch": "1383350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383350400000",
    "number": "1548699366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3462 HIGHWAY 418",
            "city": "FOUNTAIN INN",
            "state": "SC",
            "postal_code": "296444829",
            "telephone_number": "864-640-9294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 BELLE OAKS DR",
            "address_2": "SUITE 280",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294058537",
            "telephone_number": "866-571-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPLEMENTAL HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-02",
        "last_updated": "2013-11-02",
        "status": "A",
        "authorized_official_last_name": "TRIPP",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "GARRETT",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "864-640-9294",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "SC",
            "license": "6957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Supplemental Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in N Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2013; 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.