NPIMap

Organization Active NPI

SC Fyzical, LLC

  • Physical Therapy Clinic/Center
  • Columbia, SC
National Provider Identifier
1861964710
Registry record updated Dec 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
SC FYZICAL, LLC
Practice address
110 Highland Center Dr
Columbia, SC 29203-9247
Phone
(803) 408-3277
Fax
(803) 408-8698
NPI assigned
Dec 17, 2018
Last updated
Dec 18, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2018

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

Authorized official

Name
Heather Basham
Title
Provider Liaison
Phone
(803) 408-3277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

110 Highland Center Dr
Columbia, SC 29203-9247

Mailing address

15 Exchange Dr
Lugoff, SC 29078-9198
Phone (803) 408-3277

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545091200000",
    "number": "1861964710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 EXCHANGE DR",
            "city": "LUGOFF",
            "state": "SC",
            "postal_code": "290789198",
            "telephone_number": "803-408-3277",
            "fax_number": "803-408-8698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HIGHLAND CENTER DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292039247",
            "telephone_number": "803-408-3277",
            "fax_number": "803-408-8698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SC FYZICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-17",
        "last_updated": "2018-12-18",
        "status": "A",
        "authorized_official_last_name": "BASHAM",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "PROVIDER LIAISON",
        "authorized_official_telephone_number": "803-408-3277"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "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 Dec 18, 2018; 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.