Organization Active NPI

Medtrex Rehabilitation Specialties

  • Durable Medical Equipment & Medical Supplies
  • West Columbia, SC
National Provider Identifier
1831254903
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
DME 219MedicaidSC

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.