Active NPI
Accident Injury and Rehabilitation PC
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Florence, SC
National Provider Identifier
1992123822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- License
- 11313
- 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, 2014
- Organization subpart
- Yes
- Parent organization
- ACCIDENT INJURY AND REHABILITATION PC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DE3399 | Medicaid | SC |
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.
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Florence, SC
- NPI 1366567778
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.