NPIMap

Organization Active NPI

Columbia Rehabilitation Clinic, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Irmo, SC
National Provider Identifier
1598852261
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
COLUMBIA REHABILITATION CLINIC, INC.
Practice address
7182 Woodrow St Ste 102
Irmo, SC 29063-2958
Phone
(803) 749-0808
Fax
(803) 749-0308
NPI assigned
Oct 6, 2006
Last updated
Aug 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Authorized official

Name
Mr. Bruce D Filler, PTNPI 1043307614
Title
Owner/Director
Phone
(803) 799-7007

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X NU Primary

Addresses

Primary practice location

7182 Woodrow St Ste 102
Irmo, SC 29063-2958

Mailing address

7182 Woodrow Street
Suite 102
Irmo, SC 29063-2873
Phone (803) 749-0808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041006000102 SC Part B Supplier - Clinic/Group Practice 2668431644 Receives reassigned benefits from 8 practitioners
Practice locations: Irmo, SC

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Columbia Rehabilitation Clinic3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

4350 Saint Andrews Rd
Ste D
Columbia, SC 29210
Phone (803) 772-2735

1 Wellness Blvd
Ste 204
Irmo, SC 29063
Phone (803) 331-3682

7182 Woodrow St
Ste 102
Irmo, SC 29063
Phone (803) 749-0808

Practitioners & affiliated clinicians

Practitioners 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754611200000",
    "number": "1598852261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7182 WOODROW STREET",
            "address_2": "SUITE 102",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290632873",
            "telephone_number": "803-749-0808",
            "fax_number": "803-749-0308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7182 WOODROW ST STE 102",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290632958",
            "telephone_number": "803-749-0808",
            "fax_number": "803-749-0308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA REHABILITATION CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A",
        "authorized_official_last_name": "FILLER",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "803-799-7007",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irmo, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; 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.