CLEMSON SPORTS MEDICINE AND REHABILITATION (NPI# 1578791489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578791489 |
| Entity Type | Organization |
| Organization Name | CLEMSON SPORTS MEDICINE AND REHABILITATION |
| Other Organization Name | MYRTLE BEACH PHYSICAL THERAPY |
| Practice Address |
210 Village Center Blvd Ste 100 Myrtle Beach SC 29579-6683 |
| Mailing Address |
Po Box 1844 Clemson SC 29633-1844 |
| Practice Telephone | 8434914937 |
| Practice Fax Number | 8434914938 |
| Mailing Telephone | 8644820064 |
| Mailing Fax Number | 8644820081 |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2014-11-17 |
| Authorized Official Name | STUART HUNTER (OWNER) |
| 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 | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities | ||
| Y | 273Y00000X | Rehabilitation Unit | Hospital Units |
| Other Name | Type Code |
|---|---|
| Myrtle Beach Physical Therapy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1205258423 | Clemson Sports Medicine and Rehabilitation | Clinic/Center | 1397 Silver Bluff Rd, Suite 100, Aiken, SC 29803-8860 | 2014-01-07 |
| Street Address |
210 VILLAGE CENTER BLVD STE 100 |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29579-6683 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407492309 | Hannah C Wolfanger | Physical Therapist | 210 Village Center Blvd Ste 100, Myrtle Beach, SC 29579-6706 | 2019-11-26 |
| 1861057333 | Orthosc LLC | Occupational Therapist | 210 Village Center Blvd Ste 100, Myrtle Beach, SC 29579-6706 | 2019-05-09 |
| 1962910802 | Lindsey Veronica Hilliard | Physical Therapist | 210 Village Center Blvd Ste 100, Myrtle Beach, SC 29579-6706 | 2018-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598323198 | P & E Company | Counselor | 4105 Carolina Commercial Dr. Unit #2, Myrtle Beach, SC 29579 | 2019-05-30 |
| 1528624632 | Matthew Meehan | Nurse Practitioner | 4016 River Oaks Dr # 6511, Myrtle Beach, SC 29579 | 2019-05-14 |
| 1427518265 | Brian Donovan Doherty | Student in an Organized Health Care Education/Training Program | Grand Strand Medical Center 809 82nd Parkway, Gme Office, Myrtle Beach, SC 29579 | 2019-03-20 |
| 1508347931 | South Carolina Cvs Pharmacy LLC | Pharmacy | 578 International Dr, Myrtle Beach, SC 29579 | 2018-08-23 |
| 1497256176 | Orthosc LLC | Orthopaedic Surgery | 185 Fresh Dr Ste B, Myrtle Beach, SC 29579 | 2018-02-27 |
| 1740708981 | Dental Professional of South Carolina, P.C. | Dentist | 568 International Dr, Myrtle Beach, SC 29579 | 2017-09-08 |
| 1093232480 | Johnathan T Steppe | Dentist | 568 International Drive, Myrtle Beach, SC 29579 | 2017-08-25 |
| 1346638483 | Little River Medical Center, Inc | Clinic/Center | 4220 Carolina Exchange Blvd, Myrtle Beach, SC 29579 | 2014-12-23 |
| 1154726818 | Mina Gaid | Pharmacist | 1303 38th Avenue North, Myrtle Beach, SC 29579 | 2014-10-23 |
| 1528471364 | Paola Goyeneche | Counselor | 5015 Carolina Forest Blvd, Myrtle Beach, SC 29579 | 2014-06-10 |
| Find all providers in zip 29579 | ||||
| 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 |
|---|---|---|---|---|
| 1184135758 | Grand Strand Regional Medical Center, LLC | Rehabilitation Unit | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2017-10-23 |
| 1972745032 | Clemson Sports Medicine and Rehabilitation | Rehabilitation Unit | 210 Village Center Blvd, Suite 100, Myrtle Beach, SC 29579-6706 | 2009-04-03 |
| 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 |
| 1508411463 | East Cooper Community Hospital, Inc. | Rehabilitation Unit | 2000 Hospital Dr, Mt Pleasant, SC 29464-3764 | 2019-08-07 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | MYRTLE BEACH |
| Zip Code | 29579 |
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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.