Palmetto Rehab of Charleston LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PALMETTO REHAB OF CHARLESTON LLC

Practice address

90 Springview LN
Summerville, SC 29485-8153

Phone

(843) 875-2959

Fax

(843) 875-2836

NPI assigned

Mar 16, 2006

Organization subpart

No

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

Authorized official

Name

Clyde Hiers

Title

Owner

Phone

(843) 875-2959

Specialties & licenses 1

Addresses

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark R Baty, PT

  • Physical Therapist
  • Summerville, SC
  • NPI 1366401507
  NPD (past)
• David Eric Bolster, M.D.

  • Internal Medicine Physician
  • Summerville, SC
  • NPI 1144205824
  NPD (past)
• Colby H Grossman, M.D.

  • Internal Medicine Physician
  • Summerville, SC
  • NPI 1619952371
  NPD (past)
• Farrel Irvin Grossman, D.C.

  • Sports Physician Chiropractor
  • N Charleston, SC
  • NPI 1336161405
  NPD (past)
• Michael S Otruba, D.O.

  • Internal Medicine Physician
  • Ladson, SC
  • NPI 1649255316
  NPD (past)
• Darren Matthew Vance, PT

  • Physical Therapist
  • Pawleys Island, SC
  • NPI 1710216437
  NPD (past)

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1881663300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51989",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294851989",
            "telephone_number": "843-875-2959",
            "fax_number": "843-875-2836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 SPRINGVIEW LN",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294858153",
            "telephone_number": "843-875-2959",
            "fax_number": "843-875-2836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO REHAB OF CHARLESTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-16",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "HIERS",
        "authorized_official_first_name": "CLYDE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-875-2959"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Palmetto Primary Care Physicians, LLC
• Palmetto Primary Care Physicians, LLC
• Palmetto Primary Care Physicians, LLC
• Palmetto Primary Care Physicians, LLC
• Palmetto Primary Care Physicians,LLC
• Jennifer Ruth Palo, FNP
• Pumla Pamla-Gutter, MPH
• Sun Young Park, DO
• Kaylee Charice Parker
• Stephen Parker, D.M.D., PH.D.

• Physical Therapy Clinic/Center in Summerville, SC
• Providers in Summerville, SC by specialty
• Physical Therapy Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; 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.