CLEMSON SPORTS MEDICINE AND REHABILITATION (NPI# 1386886588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386886588 |
| Entity Type | Organization |
| Organization Name | CLEMSON SPORTS MEDICINE AND REHABILITATION |
| Other Organization Name | MYRTLE BEACH PHYSICAL THERAPY |
| Practice Address |
4237 River Hills Dr Suite 120 Little River SC 29566-6444 |
| Mailing Address |
Po Box 1844 Clemson SC 29633-1844 |
| Practice Telephone | 8432495616 |
| Practice Fax Number | 8432491843 |
| Mailing Telephone | 8644820064 |
| Mailing Fax Number | 8644820074 |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2012-01-13 |
| Authorized Official Name | DEBBIE BAXTER (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 8644820064 |
| Is Organization Subpart | Y |
| Parent Organization Name | CLEMSON SPORTS MEDICINE AND REHABILITATION, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | SC | Suppliers |
| Other Name | Type Code |
|---|---|
| Myrtle Beach 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 |
| 1154727907 | Clemson Sports Medicine and Rehabilitation | Physical Therapist | 1909 N Highway 17, Suite Q, Mt Pleasant, SC 29464-7459 | 2014-11-06 |
| 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 |
| Street Address |
4237 RIVER HILLS DR SUITE 120 |
| City | LITTLE RIVER |
| State | SC |
| Zip Code | 29566-6444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952307753 | Stephen G Gelfand | Internal Medicine | 4237 River Hills Dr, Suite 150, Little River, SC 29566-6444 | 2005-06-27 |
| 1952760001 | Clemson Sports Medicine and Rehabilitation, Inc | Rehabilitation Unit | 4237 River Hills Dr, Suite 110, Little River, SC 29566-6444 | 2016-02-17 |
| 1457727752 | Elite Pain Management, LLC | Durable Medical Equipment & Medical Supplies | 4237 River Hills Dr, Little River, SC 29566-6444 | 2015-08-20 |
| 1518390087 | River Hills Orthopaedics, LLC | Orthopaedic Surgery | 4237 River Hills Dr, Suite 130, Little River, SC 29566-6444 | 2013-08-19 |
| 1003249673 | James St. Cyr | Physical Therapist | 4237 River Hills Dr, Suite 120, Little River, SC 29566-6444 | 2013-08-18 |
| 1952657728 | Kristine Altena | Physical Therapist | 4237 River Hills Dr, Suite 120, Little River, SC 29566-6444 | 2012-07-31 |
| 1447579529 | Carla Antolak | Physical Therapist | 4237 River Hills Dr, Ste 110, Little River, SC 29566-6444 | 2010-05-27 |
| 1760677967 | John C Fitzgerald | Physical Therapist | 4237 River Hills Dr, Ste 120, Little River, SC 29566-6444 | 2007-09-11 |
| 1932285210 | James R Cole | Physical Therapist | 4237 River Hills Dr, Suite 120, Little River, SC 29566-6444 | 2006-10-28 |
| 1568547495 | Genevieve Badaoui | Physical Therapist | 4237 River Hills Dr, Suite 120, Little River, SC 29566-6444 | 2006-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134736309 | Holly Leanne Poplin | Nurse Practitioner | 3600 Sea Mountain Hwy, Suite C, Main Street Physicians/sc House Calls Inc, Little River, SC 29566 | 2020-09-30 |
| 1619534112 | Mcleod Loris Seacoast Hospital | Pharmacy | 4000 Hwy 9 East, Outpatient Pharmacy, Little River, SC 29566 | 2019-05-21 |
| 1366960585 | Sasha Hayes | Dentist | 1247 Highway 17 S, Little River, SC 29566 | 2017-09-07 |
| 1639557531 | Mary Lucille Harding | Nurse Practitioner | 3600 Sea Mountain Hwy, Suite, Main Street Physicians, Little River, SC 29566 | 2015-05-12 |
| 1770900771 | Dottie Randall-cox | Registered Nurse | 107 Hwy 57-north, Little River, SC 29566 | 2014-03-27 |
| 1689091688 | Carolyn Howe | Registered Nurse | 107 Highway 57 North, Dhec, Little River, SC 29566 | 2014-03-27 |
| 1376977884 | Southern Surgical Group, LLC | Specialist | 3600 Sea Mountain Hwy Suite A, Little River, SC 29566 | 2013-09-03 |
| 1144570888 | Laura Gore | Pharmacist | 2492 Hwy 9 East, Little River, SC 29566 | 2012-09-10 |
| 1255611406 | Belliams Home Health Services | Home Health | 687c Williamson Rd, Longs, SC 29566 | 2011-08-19 |
| 1083878813 | Lacie E. Edmison | Internal Medicine | 3980 Highway 9 E Ste 320, Little River, SC 29566 | 2008-07-10 |
| Find all providers in zip 29566 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376603266 | Seaside Mobility and Health Care | Durable Medical Equipment & Medical Supplies | 695 Highway 17, Little River, SC 29566-9203 | 2006-12-11 |
| 1437252871 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2492 Highway 9 E, Little River, SC 29566-6822 | 2006-09-07 |
| 1134155856 | Salem Mobility of S.c. | Durable Medical Equipment & Medical Supplies | 110 Becker Pl Unit C1, Little River, SC 29566-9397 | 2006-06-24 |
| 1457727752 | Elite Pain Management, LLC | Durable Medical Equipment & Medical Supplies | 4237 River Hills Dr, Little River, SC 29566-6444 | 2015-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174007 | Premier Transit Solutions, LLP | Durable Medical Equipment & Medical Supplies | 2025 Ebenezer Rd Ste J5, Rock Hill, SC 29732-1079 | 2020-11-03 |
| 1053912444 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 2501 May River Crossing, Bluffton, SC 29910 | 2020-11-03 |
| 1457950875 | 360 Durable Medical Supplies & Equipment | Durable Medical Equipment & Medical Supplies | 1314 N Main St Ste D, Fountain Inn, SC 29644-1332 | 2020-10-19 |
| 1255938320 | Peninsula Cosmetic and Family Dentistry, Inc. | Durable Medical Equipment & Medical Supplies | 538 Savannah Hwy, Charleston, SC 29407-7210 | 2020-10-02 |
| 1700483971 | Rsfh - Ati Physical Therapy, LLC | Durable Medical Equipment & Medical Supplies | 8950 University Blvd Ste 200a, North Charleston, SC 29406-9115 | 2020-10-01 |
| 1356955983 | Greenville Health Corporation | Durable Medical Equipment & Medical Supplies | 1400 Pickens St Fl 3, Columbia, SC 29201-3465 | 2020-09-01 |
| 1437769494 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 1400 W Georgia Rd, Simpsonville, SC 29680-6305 | 2020-08-05 |
| 1154947208 | Southern Way Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 145 Thomas Green Blvd Ste 100, Clemson, SC 29631-2172 | 2020-06-24 |
| 1841812252 | Yolanda Yvonne Ervin | Durable Medical Equipment & Medical Supplies | 1030 Oakland Ave Ste 104, Rock Hill, SC 29732-3074 | 2020-05-08 |
| 1750901674 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 100 Wade Hampton Blvd, Greenville, SC 29609-5735 | 2020-04-21 |
| Find all providers with the same taxonomy | ||||
| City | LITTLE RIVER |
| Zip Code | 29566 |
Please comment or provide details below to improve the information on CLEMSON SPORTS MEDICINE AND REHABILITATION.
| 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.