CLEMSON SPORTS MEDICINE AND REHABILITATION (NPI# 1649676578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649676578 |
| Entity Type | Organization |
| Organization Name | CLEMSON SPORTS MEDICINE AND REHABILITATION |
| Other Organization Name | BALANCE CENTER MOBILITY AND DIZZINESS CENTER WEST ASHLEY |
| Practice Address |
2295 Henry Tecklenburg Dr Charleston SC 29414-7801 |
| Mailing Address |
Po Box 1844 Clemson SC 29633-1844 |
| Practice Telephone | 8435019134 |
| Practice Fax Number | 8432031002 |
| Mailing Telephone | 8644820064 |
| Mailing Fax Number | 8644820081 |
| Enumeration Date | 2014-11-04 |
| 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 |
|---|---|
| Balance Center Mobility and Dizziness Center West Ashley | 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 |
| 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 |
2295 HENRY TECKLENBURG DR |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29414-7801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558367433 | Robert Charles Jordan | Otolaryngology | 2295 Henry Tecklenburg Dr, Charleston, SC 29414-7801 | 2005-06-24 |
| 1740824309 | Sophie J Ludwig | Audiologist | 2295 Henry Tecklenburg Dr, Charleston, SC 29414-7801 | 2019-11-06 |
| 1861966830 | Savannah Hutto Lawley | Physician Assistant | 2295 Henry Tecklenburg Dr, Charleston, SC 29414-7801 | 2019-01-14 |
| 1306318910 | Taylor Christine Hasbrouck | Physician Assistant | 2295 Henry Tecklenburg Dr, Charleston, SC 29414 | 2018-12-20 |
| 1013493352 | Alexandra Marie Rama | Nurse Practitioner | 2295 Henry Tecklenburg Dr, Charleston, SC 29414 | 2018-07-18 |
| 1114412426 | Kimberly Sawyer | Audiologist-Hearing Aid Fitter | 2295 Henry Tecklenburg Dr, Charleston, SC 29414-7801 | 2018-06-28 |
| 1982198818 | Audrey Elizabeth Rinker | Audiologist-Hearing Aid Fitter | 2295 Henry Tecklenburg Dr, Charleston, SC 29414-7801 | 2018-06-14 |
| 1326561820 | Alexandra L Cavitt | Audiologist | 2295 Henry Tecklenburg Dr, Charleston, SC 29414-7801 | 2017-07-18 |
| 1427595685 | James Arthur Vecchiolla | Pharmacist | 2295 Henry Tecklenburg Dr, Charleston, SC 29414-7801 | 2017-01-26 |
| 1114472321 | Sarah Bartlett | Audiologist | 2295 Henry Tecklenburg Dr, Charleston, SC 29414 | 2016-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902444508 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 3865 West Ashley Circle, Charleston, SC 29414 | 2019-12-13 |
| 1215440169 | Christine Michelle Delcioppo | Nurse Practitioner | 2085 Henry Tecklenburg Dr Fl 2or2, Charleston, SC 29414 | 2017-11-14 |
| 1871013508 | Carolyn Sorenson | Assistant Behavior Analyst | 2218 Hunter Creek Dr, Charleston, SC 29414 | 2017-06-23 |
| 1205387354 | Rachel Klatt | Physical Therapist | 2230 Ashley Crossing Dr., Charleston, SC 29414 | 2016-10-24 |
| 1295286912 | Mary M Butler | Physical Therapy Assistant | 2230 Ashley Crossing Drive, Charleston, SC 29414 | 2016-10-18 |
| 1295104982 | Charlene Barbot | Registered Nurse | 3741 Clover St, Charleston, SC 29414 | 2015-09-23 |
| 1720467525 | Sasha M. Perez | Family Medicine | 3030 Ashley Town Center Dr Ste 102a, Charleston, SC 29414 | 2015-05-26 |
| 1104226240 | Angela Mcinvale | Counselor | 3030 Ashley Town Center Dr., Bldg. B-203, Charleston, SC 29414 | 2014-08-26 |
| 1659790087 | Catherine Jefferson Vanderwerker | Physical Therapist | 3019 Saintsbury Cove Dr, Charleston, SC 29414 | 2014-04-14 |
| 1104266741 | Elizabeth A Burguieres | Psychiatry & Neurology | Scdmh- Charleston Telepsychiatry Office, 706 Orleans Rd, Charleston, SC 29414 | 2013-06-27 |
| Find all providers in zip 29414 | ||||
| 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 |
|---|---|---|---|---|
| 1578918504 | Clemson Sports Medicine and Rehabilitation, Inc | Rehabilitation Unit | 9313 Medical Plaza Dr, Suite 306, Charleston, SC 29406-9155 | 2016-04-27 |
| 1598189797 | Trident Medical Center, LLC | Rehabilitation Unit | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 | 2014-02-07 |
| 1275503799 | Roper Hospital, Inc | Rehabilitation Unit | 316 Calhoun St, Charleston, SC 29401-1113 | 2006-01-26 |
| 1639168693 | Charleston Area Medical Center Inc | Rehabilitation Unit | 501 Morris St, Charleston, WV 25301-1326 | 2005-10-20 |
| 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 | CHARLESTON |
| Zip Code | 29414 |
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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.