NPIMap

Organization Active NPI

Clemson Sports Medicine and Rehabilitation, Inc.

Doing business as Pinnacle Physical Therapy

  • Rehabilitation Hospital Unit
  • Columbia, SC
National Provider Identifier
1659624096
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, INC.
Doing business as
Pinnacle Physical Therapy
Practice address
3250 Forest Dr
Ste 50
Columbia, SC 29204-4023
Phone
(803) 726-0309
Fax
(803) 726-0390
NPI assigned
Oct 23, 2012
Last updated
Nov 17, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
CLEMSON SPORTS MEDICINE AND REHABILITATION, INC.As 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
Rehabilitation Hospital Unit 273Y00000X Primary

Addresses

Primary practice location

3250 Forest Dr
Ste 50
Columbia, SC 29204-4023

Mailing address

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

Other names 1

  • Pinnacle Physical Therapy Doing business as

National Provider Directory

National Provider Directory
Part of
Island Physical Therapy

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": "1350950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416182400000",
    "number": "1659624096",
    "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": "3250 FOREST DR",
            "address_2": "STE 50",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292044023",
            "telephone_number": "803-726-0309",
            "fax_number": "803-726-0390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEMSON SPORTS MEDICINE AND REHABILITATION, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLEMSON SPORTS MEDICINE AND REHABILITATION, INC.",
        "enumeration_date": "2012-10-23",
        "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": null,
            "license": null,
            "primary": false
        },
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinnacle Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, 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.