NPIMap

Organization Active NPI

Capital Rehabilitation, LLC

Doing business as Capital Rehab

  • Physical Therapist
  • Irmo, SC
National Provider Identifier
1912186180
Registry record updated Oct 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1927 Issued in SC
Legal business name
CAPITAL REHABILITATION, LLC
Doing business as
Capital Rehab
Practice address
128 Osborne LN
Irmo, SC 29063-8335
Phone
(803) 629-1865
NPI assigned
Oct 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2008

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

Authorized official

Name
Herbert T Reeves, PT, MHS
Title
PT/ Owner
Phone
(803) 629-1865

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 1927 SC Primary

Addresses

Primary practice location

128 Osborne LN
Irmo, SC 29063-8335

Mailing address

128 Osborne LN
Irmo, SC 29063-8335
Phone (803) 629-1865

Other names 1

  • Capital Rehab Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223251200000",
    "number": "1912186180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 OSBORNE LN",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290638335",
            "telephone_number": "803-629-1865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 OSBORNE LN",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290638335",
            "telephone_number": "803-629-1865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2008-10-06",
        "status": "A",
        "authorized_official_last_name": "REEVES",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PT/ OWNER",
        "authorized_official_telephone_number": "803-629-1865",
        "authorized_official_credential": "PT, MHS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "1927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Capital Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irmo, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.