NPIMap

Organization Active NPI

Clemson Sports Medicine and Rehabilitation

Doing business as Balance Center Mobility and Dizziness Center West Ashley

  • Rehabilitation Hospital Unit
  • Charleston, SC
National Provider Identifier
1649676578
Registry record updated Nov 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
Legal business name
CLEMSON SPORTS MEDICINE AND REHABILITATION
Doing business as
Balance Center Mobility and Dizziness Center West Ashley
Practice address
2295 Henry Tecklenburg Dr
Charleston, SC 29414-7801
Phone
(843) 501-9134
Fax
(843) 203-1002
NPI assigned
Nov 4, 2014
Last updated
Nov 17, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
CLEMSON SPORTS MEDICINE AND REHABILITATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 17, 2014

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

Authorized official

Name
Stuart HunterNPI 1922119353
Title
Owner
Phone
(864) 482-0064

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU
Rehabilitation Hospital Unit 273Y00000X NU Primary

Addresses

Primary practice location

2295 Henry Tecklenburg Dr
Charleston, SC 29414-7801

Mailing address

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

Other names 1

  • Balance Center Mobility and Dizziness Center West Ashley Doing business as

National Provider Directory

National Provider Directory
Part of
Clemson Sports Medicine

Practitioners & affiliated clinicians

Practitioners 1

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": "1415059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416182400000",
    "number": "1649676578",
    "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": "2295 HENRY TECKLENBURG DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294147801",
            "telephone_number": "843-501-9134",
            "fax_number": "843-203-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEMSON SPORTS MEDICINE AND REHABILITATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLEMSON SPORTS MEDICINE AND REHABILITATION",
        "enumeration_date": "2014-11-04",
        "last_updated": "2014-11-17",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "STUART",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-482-0064"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Balance Center Mobility and Dizziness Center West Ashley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2014; 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.