MATRIX REHABILITATION SOUTH CAROLINA, INC.


Address: 11 Gamecock Ave, Suite 1103, Charleston, SC 29407-3380
Phone: 8435712000

MATRIX REHABILITATION SOUTH CAROLINA, INC. (NPI# 1295751378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295751378
Entity Type Organization
Organization Name MATRIX REHABILITATION SOUTH CAROLINA, INC.
Other Organization Name PHYSICAL REHABILITATION SERVICES
Practice Address 11 Gamecock Ave
Suite 1103
Charleston
SC 29407-3380
Mailing Address Po Box 1245
Indiana
PA 15701-5245
Practice Telephone 8435712000
Practice Fax Number 8435712619
Mailing Telephone 7244653496
Mailing Fax Number 2154134682
Enumeration Date 2006-07-14
Last Update Date 2010-06-23
Authorized Official Name MRS. JAYNE FLECK POOL (CHIEF COMPLIANCE OFFICER)
Authorized Official Telephone 4694678705
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2000X Clinic/Center
Specialization: Physical Therapy
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Physical Rehabilitation Services Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1245367101 Matrix Rehabilitation South Carolina, Inc. Clinic/Center 1403 East Greenville Street, Suite B, Anderson, SC 29621-2049 2007-02-27
1700938719 Matrix Rehabilitation South Carolina, Inc. Clinic/Center 1330 Boiling Springs Rd Ste 1525, North Grove Medical Park, Spartanburg, SC 29303-4206 2007-01-18
1982622395 Matrix Rehabilitation South Carolina, Inc. Clinic/Center 146 Walnut Ln, Suite A, Travelers Rest, SC 29690-1672 2006-07-17
1881610988 Matrix Rehabilitation South Carolina, Inc. Clinic/Center 712 N A St, Easley, SC 29640-2142 2006-07-14
1093731176 Matrix Rehabilitation South Carolina, Inc. Clinic/Center 231 S Herlong Ave, Rock Hill, SC 29732-1159 2006-07-14
1073539011 Matrix Rehabilitation South Carolina, Inc. Clinic/Center 5000 Old Spartanburg Rd # A, Taylors, SC 29687-4346 2006-07-14
1427463306 Matrix Rehabilitation South Carolina, Inc. Clinic/Center 138 Milestone Way, Suite A, Greenville, SC 29615-6618 2014-06-30
1700906187 Matrix Rehabilitation South Carolina, Inc. Clinic/Center 1025 Verdae Blvd, Suite A, Greenville, SC 29607-4032 2007-03-30
1215956990 Matrix Rehabilitation South Carolina, Inc. Clinic/Center 3919 S Highway 14, Greenville, SC 29615-6138 2006-07-19
1194743567 Matrix Rehabilitation South Carolina, Inc. Clinic/Center 535 West Butler Road, Suite A, Greenville, SC 29607-4833 2006-07-17

Office Location

Street Address 11 GAMECOCK AVE
SUITE 1103
City CHARLESTON
State SC
Zip Code 29407-3380

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851406136 James Robinson Physical Therapist 11 Gamecock Ave, 1103, Charleston, SC 29407-3380 2006-08-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437763661 Charleston Jaw Surgery Oral & Maxillofacial Surgery 846 St. Andrews Blvd., Charleston, SC 29407 2020-09-04
1780225128 New Endeavors Counseling Social Worker 1 Carriage Lane Building E Suite 202, Charleston, SC 29407 2019-10-07
1770063158 Katelyn Campbell Psychologist 1 Carriage Ln Ste 102, Charleston, SC 29407 2018-08-15
1164929956 Anisha Gulati Md LLC Psychiatry & Neurology 925 Wappoo Rd., Suite F, Charleston, SC 29407 2018-04-09
1316459753 David W Richardson Dentist 765 St. Andrews Blvd., Charleston, SC 29407 2017-10-25
1457874174 Meca Mentality LLC Chiropractor 1106 St Andrews Blvd Suite A, Charleston, SC 29407 2017-07-25
1639609373 Carolina Behavioral Specialists, LLC Behavioral Analyst 1529 Sam Rittenberg Blvd, Unit 1-b, Charleston, SC 29407 2017-06-15
1467991901 Bernice Ladson Registered Nurse 75o Magnolia Road, Charleston, SC 29407 2017-02-16
1376991257 Virginia Leigh Thomason Counselor 29 Leinbach Dr, Suite D2, Charleston, SC 29407 2016-06-01
1609221001 Elinor Lee Smith Counselor 571 Savannah Hwy, Charleston, SC 29407 2016-05-04
Find all providers in zip 29407

Taxonomy Information

Taxonomy Code 261QP2000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Physical Therapy

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477197945 Greene Physical Therapy LLC Clinic/Center 824 Farnham Rd, Charleston, SC 29412-4806 2019-10-29
1861964520 Elevated Physical Therapy LLC Clinic/Center 44 Markfield Dr Ste B, Charleston, SC 29407-7908 2018-12-19
1275022568 Uxl Physical Therapy and Wellness Services LLC Clinic/Center 13 Fieldfare Way, Charleston, SC 29414-6933 2018-05-02
1568959864 Made 2 Move Clinic/Center 115 Pier View Street Daniel Island, Sc 2942, 866-447-9721, Charleston, SC 29492-2949 2018-04-23
1093202665 First Settlement Physical Therapy Clinic/Center 1001 Bridge Rd, Charleston, WV 25314-1305 2018-04-18
1932580065 Dpt, Inc Clinic/Center 5510 Maccorkle Ave Se, Charleston, WV 25304 2015-06-15
1972910529 Charleston Therapeutic Yoga Clinic/Center 2877 Doncaster Dr, Charleston, SC 29414-6737 2014-07-15
1619000726 Therapy Centers of South Carolina, P.a. Clinic/Center 4115 Dorchester Road, Suite 100, Charleston, SC 29405 2007-03-14
1932144540 Charleston Physical Therapy Practice Pa Clinic/Center 1730b Savannah Hwy, Charleston, SC 29407-6255 2006-06-18
1306890579 Pediatric Physical Therapy, PC Clinic/Center 1319 Savannah Hwy, Suite D, Charleston, SC 29407-7848 2006-05-20
Find all providers in CHARLESTON

Competitor

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City CHARLESTON
Zip Code 29407

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Dataset Information

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.

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