NPIMap

Organization Active NPI

Phoenix Rehabilitation and Health Services of South Carolina, LLC

  • Physical Therapist
  • Columbia, SC
National Provider Identifier
1790471852
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PHOENIX REHABILITATION AND HEALTH SERVICES OF SOUTH CAROLINA, LLC
Practice address
2900 Dreher Shoals Rd Ste C
Columbia, SC 29212-7915
Phone
(803) 234-4138
Fax
(803) 792-0625
NPI assigned
Apr 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Authorized official

Name
Melanie Redfern
Title
Credentialing Specialist
Phone
(412) 567-2400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

2900 Dreher Shoals Rd Ste C
Columbia, SC 29212-7915

Mailing address

2000 Westinghouse Dr Ste 200
Cranberry Township, PA 16066-5238
Phone (724) 448-2733

National Provider Directory

National Provider Directory
Tax ID family
Esolutions Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1790471852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 WESTINGHOUSE DR STE 200",
            "city": "CRANBERRY TOWNSHIP",
            "state": "PA",
            "postal_code": "160665238",
            "telephone_number": "724-448-2733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 DREHER SHOALS RD STE C",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292127915",
            "telephone_number": "803-234-4138",
            "fax_number": "803-792-0625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX REHABILITATION AND HEALTH SERVICES OF SOUTH CAROLINA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-12",
        "last_updated": "2023-04-12",
        "certification_date": "2022-03-22",
        "status": "A",
        "authorized_official_last_name": "REDFERN",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "412-567-2400"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; 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.