NPIMap

Organization Active NPI

In Home Rehab of South Carolina LLC

  • Physical Therapist
  • Columbia, SC
National Provider Identifier
1669487476
Registry record updated May 26, 2015
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Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4267 Issued in SC
Legal business name
IN HOME REHAB OF SOUTH CAROLINA LLC
Practice address
47 Haven Ridge CT
Columbia, SC 29212-2881
Phone
(803) 407-3869
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2015

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

Authorized official

Name
Craig Peters
Title
Owner
Phone
(803) 407-3869

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 4267 SC Primary

Addresses

Primary practice location

47 Haven Ridge CT
Columbia, SC 29212-2881

Mailing address

47 Haven Ridge CT
Columbia, SC 29212-2881

Other identifiers 1

IdentifierTypeStateIssuer
250518500OtherSCBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432598400000",
    "number": "1669487476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 HAVEN RIDGE CT",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292122881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 HAVEN RIDGE CT",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292122881",
            "telephone_number": "803-407-3869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN HOME REHAB OF SOUTH CAROLINA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2015-05-26",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-407-3869"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "4267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "250518500",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 May 26, 2015; 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.