Organization Active NPI

Palmetto Therapy Group, LLC

  • Rehabilitation Clinic/Center
  • Florence, SC
National Provider Identifier
1952552259
Registry record updated Oct 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
PALMETTO THERAPY GROUP, LLC
Practice address
3321 W Dogwood Chase CT
Florence, SC 29501-8040
Phone
(843) 245-3561
Fax
(800) 669-1249
NPI assigned
Oct 6, 2008
Last updated
Oct 6, 2008By the provider in NPPES
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
Mr. Jeffrey Lynn Gibbs, COTA
Title
Owner
Phone
(843) 245-3561

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X NU Primary

Addresses

Primary practice location

3321 W Dogwood Chase CT
Florence, SC 29501-8040

Mailing address

3321 W Dogwood Chase CT
Florence, SC 29501-8040
Phone (843) 245-3561

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1223251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223251200000",
    "number": "1952552259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3321 W DOGWOOD CHASE CT",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295018040",
            "telephone_number": "843-245-3561",
            "fax_number": "800-669-1249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3321 W DOGWOOD CHASE CT",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295018040",
            "telephone_number": "843-245-3561",
            "fax_number": "800-669-1249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO THERAPY GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-06",
        "last_updated": "2008-10-06",
        "status": "A",
        "authorized_official_last_name": "GIBBS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-245-3561",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "COTA"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, 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.