NPIMap

Organization Active NPI

Human Performance and Rehabilitation Centers, LLC

  • Physical Therapy Clinic/Center
  • Columbia, SC
National Provider Identifier
1992394779
Registry record updated Jan 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
HUMAN PERFORMANCE AND REHABILITATION CENTERS, LLC
Practice address
4114 Forest Dr
Columbia, SC 29204-4316
Phone
(803) 939-2213
Fax
(803) 939-2214
NPI assigned
Jan 15, 2021
Last updated
Jan 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2021

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

Authorized official

Name
Brian McCluskey
Title
Ceo/Member
Phone
(706) 322-7762

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

4114 Forest Dr
Columbia, SC 29204-4316

Mailing address

PO Box 8068
Columbus, GA 31908-8068

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1833 McDonough Rd BLDG 200 Ste C
Lovejoy, GA 30228

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 33

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1610668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610668800000",
    "number": "1992394779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8068",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319088068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4114 FOREST DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292044316",
            "telephone_number": "803-939-2213",
            "fax_number": "803-939-2214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMAN PERFORMANCE AND REHABILITATION CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-15",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A",
        "authorized_official_last_name": "MCCLUSKEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CEO/MEMBER",
        "authorized_official_telephone_number": "706-322-7762"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; 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.