Active NPI
Medtrex Rehabilitation Specialties
- Durable Medical Equipment & Medical Supplies
- West Columbia, SC
National Provider Identifier
1831254903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- MEDTREX REHABILITATION SPECIALTIES
- Practice address
- 1330 Methodist Park Rd.
Ste B
West Columbia, SC 29170-2842 - Phone
- (803) 926-3737
- NPI assigned
- Dec 27, 2006
- Last updated
- Jun 17, 2008
- 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
- Ms. Anne Sanders Laird, R.N.
- Title
- President
- Phone
- (803) 926-3737
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
1330 Methodist Park Rd.
Ste B
West Columbia, SC 29170-2842
Mailing address
1330 Methodist Park Road
Suite B
West Columbia, SC 29170-2842
Phone (803) 926-3737
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DME 219 | Medicaid | SC |
National Provider Directory
National Provider DirectoryLocations
1330 Methodist Park Rd
#B
West Columbia, SC 29170
Phone (803) 926-3737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213660800000",
"number": "1831254903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1330 METHODIST PARK ROAD",
"address_2": "SUITE B",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291702842",
"telephone_number": "803-926-3737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 METHODIST PARK RD.",
"address_2": "STE B",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291702842",
"telephone_number": "803-926-3737"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDTREX REHABILITATION SPECIALTIES",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-27",
"last_updated": "2008-06-17",
"status": "A",
"authorized_official_last_name": "LAIRD",
"authorized_official_first_name": "ANNE",
"authorized_official_middle_name": "SANDERS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "803-926-3737",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "R.N."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DME 219",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.