Rehabilitation Centers of Charleston

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

REHABILITATION CENTERS OF CHARLESTON

Practice address

900 Island Park Dr
Suite 105
Daniel Island, SC 29492-7559

Phone

(843) 884-7880

Fax

(843) 884-6635

NPI assigned

May 9, 2007

Last updated

Jun 12, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shannon Beckham

Title

Credentialing Coordinator

Phone

(843) 884-7880

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244764800000",
    "number": "1801000278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "586 LONE TREE DR",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294648170",
            "telephone_number": "843-884-7880",
            "fax_number": "843-884-6635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 ISLAND PARK DR",
            "address_2": "SUITE 105",
            "city": "DANIEL ISLAND",
            "state": "SC",
            "postal_code": "294927559",
            "telephone_number": "843-884-7880",
            "fax_number": "843-884-6635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABILITATION CENTERS OF CHARLESTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2009-06-12",
        "status": "A",
        "authorized_official_last_name": "BECKHAM",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "843-884-7880"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP1753",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Daniel Island, SC
• Providers in Daniel Island, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2009; 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.