NPIMap

Organization Active NPI

Medical University of South Carolina

  • Physical Therapy Clinic/Center
  • Charleston, SC
National Provider Identifier
1659560670
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
1213 Issued in SC
Legal business name
MEDICAL UNIVERSITY OF SOUTH CAROLINA
Practice address
2125 Charlie Hall Blvd
Charleston, SC 29414-5879
Phone
(843) 573-1513
NPI assigned
Oct 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2007

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

Authorized official

Name
Paula Workman
Title
PT 3
Phone
(843) 573-1513

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 1213 SC Primary

Addresses

Primary practice location

2125 Charlie Hall Blvd
Charleston, SC 29414-5879

Mailing address

3728 Station Point CT
Mt Pleasant, SC 29466-8316

Other identifiers 1

IdentifierTypeStateIssuer
1213OtherPHYSICAL THERAPIST LICENS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1659560670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3728 STATION POINT CT",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294668316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 CHARLIE HALL BLVD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145879",
            "telephone_number": "843-573-1513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL UNIVERSITY OF SOUTH CAROLINA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "WORKMAN",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "PT 3",
        "authorized_official_telephone_number": "843-573-1513"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "SC",
            "license": "1213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPIST LICENS",
            "identifier": "1213",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Oct 16, 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.