Clemson Sports Medicine and Rehabilitation, Inc

Primary specialty

Rehabilitation Hospital UnitTaxonomy code 273Y00000X

Legal business name

CLEMSON SPORTS MEDICINE AND REHABILITATION, INC

Practice address

522 N Magnolia St
Ste a
Summerville, SC 29483-6877

Phone

(843) 376-5963

Fax

(843) 256-1983

NPI assigned

Apr 4, 2011

Organization subpart

Yes

Parent organization

CLEMSON SPORTS MEDICINE AND REHABILITATIONAs reported in NPPES

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

Authorized official

Name

Stuart Hunter

Title

Owner

Phone

(864) 482-0064

Specialties & licenses 2

Addresses

Other names 1

• Sports Plus Summerville DT Doing business as

Part of

Clemson Sports Medicine

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

{
    "created_epoch": "1301875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416182400000",
    "number": "1821387523",
    "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": "522 N MAGNOLIA ST",
            "address_2": "STE A",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294836877",
            "telephone_number": "843-376-5963",
            "fax_number": "843-256-1983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEMSON SPORTS MEDICINE AND REHABILITATION, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLEMSON SPORTS MEDICINE AND REHABILITATION",
        "enumeration_date": "2011-04-04",
        "last_updated": "2014-11-17",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "STUART",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-482-0064"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sports Plus Summerville DT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan Clark
• Andrea Clayton, DPT
• Taylor Cleeve
• Caleigh Clements
• Clemson Sports Medicine and Rehabilitation
• Christine Denise Clyburn, DPT
• CMJ Concrete LLC
• Jeannie Arlene Coale, LMT, NCTMB
• Coastal Carolina Medical Services LLC
• Coastal Carolina Multispecialty Associates, LLC

• Rehabilitation Hospital Unit in Summerville, SC
• Providers in Summerville, SC by specialty
• Rehabilitation Hospital Unit in South Carolina

• 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.

Verify at the official NPI Registry.