Active NPI
Human Performance and Rehabilitation Centers, Inc.
- Physical Therapist
- West Columbia, SC
National Provider Identifier
1700958816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | SC | Primary | |
| Occupational Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP1100 | Medicaid | SC |
National Provider Directory
National Provider Directory- Tax ID family
- Human Performance Reh
- 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.
-
- Prosthetic/Orthotic Supplier
- Columbus, GA
- NPI 1093888083
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.
-
- Physical Therapy Clinic/Center
- Columbia, SC
- NPI 1992394779
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.