CLEMSON SPORTS MEDICINE AND REHABILITATION (NPI# 1154727907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154727907 |
| Entity Type | Organization |
| Organization Name | CLEMSON SPORTS MEDICINE AND REHABILITATION |
| Other Organization Name | MOUNT PLEASANT PHYSICAL THERAPY |
| Practice Address |
1909 N Highway 17 Suite Q Mt Pleasant SC 29464-7459 |
| Practice Telephone | 8434169026 |
| Practice Fax Number | 8435316223 |
| Mailing Telephone | 8434169026 |
| Mailing Fax Number | 8435316223 |
| Enumeration Date | 2014-11-06 |
| Last Update Date | 2014-11-06 |
| Authorized Official Name | JENNIFER MCQUILLEN (BILLING) |
| Authorized Official Telephone | 8644820064 |
| Is Organization Subpart | Y |
| Parent Organization Name | CLEMSON SPORTS MEDICINE AND REHABILITATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 273Y00000X | Rehabilitation Unit | Hospital Units |
| Other Name | Type Code |
|---|---|
| Mount Pleasant Physical Therapy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578791489 | Clemson Sports Medicine and Rehabilitation | Clinic/Center | 210 Village Center Blvd Ste 100, Myrtle Beach, SC 29579-6683 | 2009-06-30 |
| 1881850634 | Clemson Sports Medicine and Rehabilitation | Clinic/Center | 1051 Stamp Creek Rd, Salem, SC 29676-4516 | 2008-07-31 |
| 1336224583 | Clemson Sports Medicine and Rehabilitation | Clinic/Center | 93b Springview Ln, Summerville, SC 29485-8154 | 2006-10-26 |
| 1912082165 | Clemson Sports Medicine and Rehabilitation | Clinic/Center | 184 University Pkwy, Aiken, SC 29801-6308 | 2006-10-26 |
| 1568544286 | Clemson Sports Medicine and Rehabilitation | Clinic/Center | 12023 N Radio Station Rd Ste A, Seneca, SC 29678-1143 | 2006-10-20 |
| 1013007244 | Clemson Sports Medicine and Rehabilitation | Clinic/Center | 1019 Tiger Blvd, Unit 105, Clemson, SC 29631-2916 | 2006-10-16 |
| 1306244538 | Clemson Sports Medicine and Rehabilitation | Durable Medical Equipment & Medical Supplies | 119 Office Park Dr, Orangeburg, SC 29118-2407 | 2014-12-22 |
| 1649676578 | Clemson Sports Medicine and Rehabilitation | Clinic/Center | 2295 Henry Tecklenburg Dr, Charleston, SC 29414-7801 | 2014-11-04 |
| 1528462371 | Clemson Sports Medicine and Rehabilitation | Clinic/Center | 1909 N Highway 17, Suite Q, Mt Pleasant, SC 29464-7459 | 2014-10-22 |
| 1205258423 | Clemson Sports Medicine and Rehabilitation | Clinic/Center | 1397 Silver Bluff Rd, Suite 100, Aiken, SC 29803-8860 | 2014-01-07 |
| Street Address |
1909 N HIGHWAY 17 SUITE Q |
| City | MT PLEASANT |
| State | SC |
| Zip Code | 29464-7459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194279406 | Kerri Ann Waegelein | Physical Therapist | 1909 N Highway 17, Ste Q, Mt Pleasant, SC 29464-7459 | 2016-08-04 |
| 1528462371 | Clemson Sports Medicine and Rehabilitation | Clinic/Center | 1909 N Highway 17, Suite Q, Mt Pleasant, SC 29464-7459 | 2014-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811548241 | Bradley Paul Anuszkiewicz | Chiropractor | 1501 Johnnie Dodds Blvd, Suite C, Mount Pleasant, SC 29464 | 2019-09-26 |
| 1447808696 | Laura Mariah Crouse | Speech-Language Pathologist | Coastal Therapy Services, 1127 Queensborough Blvd, Mt Pleasant, SC 29464 | 2019-08-30 |
| 1912461807 | Independent Optical | Optometrist | 1710 Shoremead Rd, Suite 420, Mount Pleasant, SC 29464 | 2019-01-25 |
| 1417446204 | Michael Adam Sugarman | Clinical Neuropsychologist | 1459 Stuart Engals Blvd Ste 204a, Mt Pleasant, SC 29464 | 2018-05-07 |
| 1578064192 | Ancillary Specialists LLC | Durable Medical Equipment & Medical Supplies | 636 Long Point Road, Unit G, #19, Mount Pleasant, SC 29464 | 2018-02-28 |
| 1346769015 | Christin Solomon Zerega | Counselor | Lowcountry Psychiatry Group, 913 Bowman Rd, #4, Mount Pleasant, SC 29464 | 2017-09-14 |
| 1336660315 | Charleston Neuropsychology LLC | Psychologist | 1459 Stuart Engals Blvd., Suite 204a, Mount Pleasant, SC 29464 | 2017-06-29 |
| 1790219970 | Adam Hudepohl | Family Medicine | 1400 Ben Sawyer Blvd, Mt Pleasant, SC 29464 | 2017-04-14 |
| 1386181204 | Alicia Taylor | Speech-Language Pathologist | 381 Stonewall Ct Apt 6207, Mount Pleasant, SC 29464 | 2017-01-30 |
| 1285181941 | Tara Lynn Mast | Physical Therapist | 1400 Caliper Oak Circle, Apt 316, Mount Pleasant, SC 29464 | 2016-09-09 |
| Find all providers in zip 29464 | ||||
| Taxonomy Code | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508411463 | East Cooper Community Hospital, Inc. | Rehabilitation Unit | 2000 Hospital Dr, Mt Pleasant, SC 29464-3764 | 2019-08-07 |
| 1982691002 | Henry County Soldiers' and Sailors' Memorial Hospital | Rehabilitation Unit | 407 S White St, Mt Pleasant, IA 52641-2263 | 2005-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558739649 | Prisma Health | Rehabilitation Unit | 104 Saluda Point Drive, Lexington, SC 29072 | 2015-09-08 |
| 1134597214 | Prisma Health-midlands | Rehabilitation Unit | 3221 Sunset Blvd Suite B, Columbia, SC 29169-0000 | 2015-09-08 |
| 1043688120 | Palmetto Health | Rehabilitation Unit | 3600 Forest Drive-suite 101, Columbia, SC 29204-0000 | 2015-09-08 |
| 1902274095 | Prisma Health-midlands | Rehabilitation Unit | 111 Sparkleberry Crossing Rd Suite 5, Columbia, SC 29229 | 2015-09-08 |
| 1861834673 | B&b Occupational Therapy | Rehabilitation Unit | 9998 Hallsford Dr, Ladson, SC 29456-3849 | 2013-07-22 |
| 1518212232 | Medfit | Rehabilitation Unit | 10071 Broad River Rd Ste B, Irmo, SC 29063-2381 | 2012-07-18 |
| 1699248195 | Medical University Hospital Authority | Rehabilitation Unit | 121 E Cedar St, Florence, SC 29506-2576 | 2019-01-07 |
| 1144793654 | Medical University Hospital Authority | Rehabilitation Unit | 800 W Meeting St, Lancaster, SC 29720-2202 | 2019-01-07 |
| 1942772546 | Spartanburg Medical Center | Rehabilitation Unit | 1700 Skylyn Dr, Spartanburg, SC 29307-1041 | 2018-12-20 |
| 1184135758 | Grand Strand Regional Medical Center, LLC | Rehabilitation Unit | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2017-10-23 |
| Find all providers with the same taxonomy | ||||
| City | MT PLEASANT |
| Zip Code | 29464 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.