Palmetto Spine & Sports Medicine, PA

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

Legal business name

PALMETTO SPINE & SPORTS MEDICINE, PA

Practice address

3030 Ashley Town Center Dr
BLGD a-102
Charleston, SC 29414-5664

Phone

(843) 573-9997

Fax

(843) 377-1446

NPI assigned

Apr 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Timothy Michael Zgleszewski, M.D.

Title

President/Physician

Phone

(843) 573-9997

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300665600000",
    "number": "1942266176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 ASHLEY TOWN CENTER DR",
            "address_2": "BLGD A-102",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145664",
            "telephone_number": "843-573-9997",
            "fax_number": "843-377-1446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 ASHLEY TOWN CENTER DR",
            "address_2": "BLGD A-102",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145664",
            "telephone_number": "843-573-9997",
            "fax_number": "843-377-1446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO SPINE & SPORTS MEDICINE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-25",
        "last_updated": "2011-03-21",
        "status": "A",
        "authorized_official_last_name": "ZGLESZEWSKI",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "843-573-9997",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3855",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Palmetto Psych Services LLC
• Palmetto Pulmonary Physicians of Charleston PA
• Palmetto Rainbow Dental Group LLC
• Palmetto Sleep Centers, Inc
• Palmetto Spine & Sports Medicine, P.a.
• Palmetto State Pharmaceuticals Inc
• Palmetto Vein Specialists, LLC
• Palmetto Vision Care LLC
• Palmetto Vision Inc
• Katarina Palmman, MS, RD, LD

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Charleston, SC
• Providers in Charleston, SC by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; 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.