Organization Active NPI

Rehabilitation Centers of Charleston

  • Physical Therapist
  • Moncks Corner, SC
National Provider Identifier
1871707240
Registry record updated Jun 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
REHABILITATION CENTERS OF CHARLESTON
Practice address
2061 Highway 52
Moncks Corner, SC 29461-5017
Phone
(843) 761-4622
Fax
(843) 761-4625
NPI assigned
May 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2009

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

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

2061 Highway 52
Moncks Corner, SC 29461-5017

Mailing address

586 Lone Tree Dr
Mt Pleasant, SC 29464-8170
Phone (843) 884-7880

Other identifiers 1

IdentifierTypeStateIssuer
GP1753MedicaidSC

National Provider Directory

National Provider Directory

NPI Registry JSON

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": "1871707240",
    "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": "2061 HIGHWAY 52",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294615017",
            "telephone_number": "843-761-4622",
            "fax_number": "843-761-4625"
        }
    ],
    "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": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP1753",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moncks Corner, SC

Sources for this page

  • 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.