Organization Active NPI

Camden Rehab, LLC

  • Physical Therapy Clinic/Center
  • Camden, SC
National Provider Identifier
1629037411
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
5032 Issued in SC
Legal business name
CAMDEN REHAB, LLC
Practice address
301B E Dekalb St
Camden, SC 29020-4495
Phone
(803) 432-2432
Fax
(803) 432-1779
NPI assigned
Mar 21, 2006
Last updated
Oct 15, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2007

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

Authorized official

Name
Ms. Susan L Williams
Title
Office MGR
Phone
(803) 432-2432

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 5032 SC Primary

Addresses

Primary practice location

301B E Dekalb St
Camden, SC 29020-4495

Mailing address

301B E Dekalb St
Camden, SC 29020-4495
Phone (803) 432-2432

Other identifiers 1

IdentifierTypeStateIssuer
GP3113MedicaidSC

National Provider Directory

National Provider Directory

Locations

301 E DeKalb St
Camden, SC 29020
Phone (803) 432-2432

301B E DeKalb St
Camden, SC 29020
Phone (803) 432-2432

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1629037411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301B E DEKALB ST",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290204495",
            "telephone_number": "803-432-2432",
            "fax_number": "803-432-1779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301B E DEKALB ST",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290204495",
            "telephone_number": "803-432-2432",
            "fax_number": "803-432-1779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMDEN REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-21",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "803-432-2432",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "SC",
            "license": "5032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3113",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.