Active NPI
CP&L
Doing business as Atlantic Spine and Health Clinic
- Physical Medicine & Rehabilitation Physician
- Mount Pleasant, SC
National Provider Identifier
1750988424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- CP&L
- Doing business as
- Atlantic Spine and Health Clinic
- Practice address
- 1150 Hungryneck Blvd Ste D
Mount Pleasant, SC 29464-3484 - Phone
- (843) 884-1876
- NPI assigned
- Oct 6, 2020
- Last updated
- Jan 7, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jacqueline Fagioli
- Title
- Office Manager
- Phone
- (843) 884-1876
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | NU | Primary |
Addresses
Primary practice location
1150 Hungryneck Blvd Ste D
Mount Pleasant, SC 29464-3484
Mailing address
1150 Hungryneck Blvd Ste D
Mount Pleasant, SC 29464-3484
Phone (843) 884-1876
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407103583 | Other | INDIVIDUAL NPI |
Other names 1
- Atlantic Spine and Health Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| CP&L | Traction Equipment|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf | Accepts assignment |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Medicine & Rehabilitation Physician
- Charleston, SC
- NPI 1821295254
-
- Chiropractor
- N Charleston, SC
- NPI 1407103583
-
- Physician Assistant
- Mount Pleasant, SC
- NPI 1073237947
-
- Chiropractor
- Mount Pleasant, SC
- NPI 1881628618
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601942400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1609977600000",
"number": "1750988424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 HUNGRYNECK BLVD STE D",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294643484",
"telephone_number": "843-884-1876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 HUNGRYNECK BLVD STE D",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294643484",
"telephone_number": "843-884-1876"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CP&L",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-06",
"last_updated": "2021-01-07",
"certification_date": "2021-01-04",
"status": "A",
"authorized_official_last_name": "FAGIOLI",
"authorized_official_first_name": "JACQUELINE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "843-884-1876",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1407103583",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Atlantic Spine and Health Clinic",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Atlantic Spine and Health Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mount Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.