Palmetto Ortho & Sports Rehab

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4484 Issued in SC

Legal business name

PALMETTO ORTHO & SPORTS REHAB

Practice address

234 Birchtree Dr
Greenwood, SC 29649-1502

Phone

(864) 223-0900

Fax

(864) 223-0902

NPI assigned

Jan 19, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Michael Phillip Vahjen, PTNPI 1598745291

Title

Owner/Physical Therapist

Phone

(864) 223-0900

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Michael Phillip Vahjen, PT

  • Physical Therapist
  • Greenwood, SC
  • NPI 1598745291
  NPD (past) Authorized official
• Heidi Ann Blake

  • Physical Medicine & Rehabilitation Physician
  • Greenwood, SC
  • NPI 1336318633
  NPD (past)

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228262400000",
    "number": "1689654386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 BIRCHTREE DR",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296491502",
            "telephone_number": "864-223-0900",
            "fax_number": "864-223-0902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 BIRCHTREE DR",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296491502",
            "telephone_number": "864-223-0900",
            "fax_number": "864-223-0902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO ORTHO & SPORTS REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-19",
        "last_updated": "2008-12-03",
        "status": "A",
        "authorized_official_last_name": "VAHJEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "PHILLIP",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "864-223-0900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "4484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4244",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Cenarosa Paguntalan, NP
• Pain Management Associates
• Pain Management Associates
• Palmetto Eyecare, P.a.
• Palmetto Medical Rehabilitation
• Palmetto Pediatric Therapy, Inc.
• Raymond Papke
• Jennifer Parker, MA
• Frederick Delmar Parks Jr., MD
• Mikayla Shanta Dunlap Parks, FNP-C

• Physical Therapist in Greenwood, SC
• Providers in Greenwood, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; 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.