Organization Active NPI

Human Performance and Rehabilitation Centers, Inc.

  • Physical Therapist
  • West Columbia, SC
National Provider Identifier
1700958816
Registry record updated Jul 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
HUMAN PERFORMANCE AND REHABILITATION CENTERS, INC.
Practice address
2989 Sunset Blvd
West Columbia, SC 29169-3497
Phone
(803) 791-1136
Fax
(803) 739-5234
NPI assigned
Nov 14, 2006
Organization subpart
Yes
Parent organization
HUMAN PERFORMANCE AND REHABILITATION CENTERS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 16, 2007

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

Authorized official

Name
Mr. Brian S McCluskey, PH.D.
Title
President
Phone
(706) 322-7762

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X SC Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X SC
Prosthetic/Orthotic Supplier 335E00000X SC

Addresses

Primary practice location

2989 Sunset Blvd
West Columbia, SC 29169-3497

Mailing address

PO Box 8068
Columbus, GA 31908-8068
Phone (803) 791-1136

Other identifiers 1

IdentifierTypeStateIssuer
GP1100MedicaidSC

National Provider Directory

National Provider Directory
Tax ID family
Human Performance Reh2 organizations share this tax ID, including this one
Part of
Human Performance Reh

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184544000000",
    "number": "1700958816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8068",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319088068",
            "telephone_number": "803-791-1136",
            "fax_number": "803-739-5234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2989 SUNSET BLVD",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291693497",
            "telephone_number": "803-791-1136",
            "fax_number": "803-739-5234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMAN PERFORMANCE AND REHABILITATION CENTERS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HUMAN PERFORMANCE AND REHABILITATION CENTERS, INC.",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-16",
        "status": "A",
        "authorized_official_last_name": "MCCLUSKEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-322-7762",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "SC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP1100",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Columbia, SC

Sources for this page

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