Organization Active NPI

Accident Injury and Rehabilitation PC

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Florence, SC
National Provider Identifier
1992123822
Registry record updated Mar 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X
License
11313 Issued in SC
Legal business name
ACCIDENT INJURY AND REHABILITATION PC
Practice address
507 W Palmetto St
Florence, SC 29501-4427
Phone
(843) 669-1010
Fax
(843) 669-1054
NPI assigned
Mar 28, 2014
Last updated
Mar 28, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
ACCIDENT INJURY AND REHABILITATION PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 28, 2014

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

Authorized official

Name
Dr. Steven McKay
Title
Officer/Director
Phone
(843) 669-1010

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 2474 SC
Nurse Practitioner 363L00000X 4108 SC
Sports Medicine (Neuromusculoskeletal Medicine) Physician 204C00000X 11313 SC Primary
Family Medicine Physician 207Q00000X 11313 SC
Rehabilitation Chiropractor 111NR0400X 2474 SC

Addresses

Primary practice location

507 W Palmetto St
Florence, SC 29501-4427

Mailing address

507 W Palmetto St
Florence, SC 29501-4427
Phone (843) 669-1010

Other identifiers 1

IdentifierTypeStateIssuer
DE3399MedicaidSC

National Provider Directory

National Provider Directory
Part of
Accident Injury and Rehabilitation PC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1395964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395964800000",
    "number": "1992123822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 W PALMETTO ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014427",
            "telephone_number": "843-669-1010",
            "fax_number": "843-669-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 W PALMETTO ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014427",
            "telephone_number": "843-669-1010",
            "fax_number": "843-669-1054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCIDENT INJURY AND REHABILITATION PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACCIDENT INJURY AND REHABILITATION PC",
        "enumeration_date": "2014-03-28",
        "last_updated": "2014-03-28",
        "status": "A",
        "authorized_official_last_name": "MCKAY",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OFFICER/DIRECTOR",
        "authorized_official_telephone_number": "843-669-1010",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SC",
            "license": "2474",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "4108",
            "primary": false
        },
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "SC",
            "license": "11313",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "11313",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "SC",
            "license": "2474",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE3399",
            "state": "SC"
        }
    ],
    "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 Mar 28, 2014; 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.