Active NPI
Clemson Sports Medicine and Rehabilitation, Inc
Doing business as Sports Plus
- Rehabilitation Hospital Unit
- North Charleston, SC
National Provider Identifier
1730355314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Hospital Unit
- Legal business name
- CLEMSON SPORTS MEDICINE AND REHABILITATION, INC
- Doing business as
- Sports Plus
- Practice address
- 5401 Netherby Rd
BLDG 300 Suite 302
North Charleston, SC 29420-7363 - Phone
- (843) 225-5211
- Fax
- (843) 225-5513
- NPI assigned
- May 5, 2008
- Last updated
- Nov 17, 2014
- Organization subpart
- Yes
- Parent organization
- CLEMSON SPORTS MEDICINE AND REHAB
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charleen Fitzgerald
- Title
- Credentialing
- Phone
- (864) 482-0064
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | NU | ||
| Rehabilitation Hospital Unit | 273Y00000X | SC | Primary |
Addresses
Primary practice location
5401 Netherby Rd
BLDG 300 Suite 302
North Charleston, SC 29420-7363
Mailing address
PO Box 1844
Clemson, SC 29633-1844
Phone (864) 482-0064
Other names 1
- Sports Plus
National Provider Directory
National Provider Directory- Part of
- Clemson Sports Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209945600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1416182400000",
"number": "1730355314",
"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": "5401 NETHERBY RD",
"address_2": "BLDG 300 SUITE 302",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294207363",
"telephone_number": "843-225-5211",
"fax_number": "843-225-5513"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLEMSON SPORTS MEDICINE AND REHABILITATION, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CLEMSON SPORTS MEDICINE AND REHAB",
"enumeration_date": "2008-05-05",
"last_updated": "2014-11-17",
"status": "A",
"authorized_official_last_name": "FITZGERALD",
"authorized_official_first_name": "CHARLEEN",
"authorized_official_title_or_position": "CREDENTIALING",
"authorized_official_telephone_number": "864-482-0064"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "273Y00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Unit",
"state": "SC",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Sports Plus",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in North Charleston, SC
- Chloe Clark, PT, DPT
- George L Clark, D.O.
- Janet Kay Clark, RN
- Shelley L Clayton, P.T
- Clemson Sports Medicine and Rehabilitation (Sports Plus)
- Clemson Sports Medicine and Rehabilitation, Inc. (Balance Dizziness & Mobility Center)
- Elliot Cleveland
- Club Horizons of Charleston, LLC
- Coastal Addiction Recovery LLC
- Coastal Addiction Recovery LLC
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.