CLEMSON SPORTS MEDICINE AND REHABILITATION, INC. (NPI# 1659624096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659624096 |
Entity Type | Organization |
Organization Name | CLEMSON SPORTS MEDICINE AND REHABILITATION, INC. |
Other Organization Name | PINNACLE PHYSICAL THERAPY |
Practice Address |
3250 Forest Dr Ste 50 Columbia SC 29204-4023 |
Mailing Address |
Po Box 1844 Clemson SC 29633-1844 |
Practice Telephone | 8037260309 |
Practice Fax Number | 8037260390 |
Mailing Telephone | 8644820064 |
Mailing Fax Number | 8644820081 |
Enumeration Date | 2012-10-23 |
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, INC. |
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 |
---|---|
Pinnacle Physical Therapy | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285846808 | Clemson Sports Medicine and Rehabilitation, Inc. | Clinic/Center | 530 North St, Smithfield, NC 27577-4016 | 2007-05-04 |
1205062619 | Clemson Sports Medicine and Rehabilitation, Inc. | Durable Medical Equipment & Medical Supplies | 2881 Tricom St, Suite B, N Charleston, SC 29406-9823 | 2009-06-01 |
1851527261 | Clemson Sports Medicine and Rehabilitation, Inc. | Durable Medical Equipment & Medical Supplies | 210 Village Center Blvd, Ste 100, Myrtle Beach, SC 29579-6706 | 2009-06-01 |
1295810273 | Clemson Sports Medicine and Rehabilitation, Inc. | Clinic/Center | 9241 University Blvd, Suite B-1, North Charleston, SC 29406-9349 | 2006-10-26 |
1881701688 | Clemson Sports Medicine and Rehabilitation, Inc. | Clinic/Center | 936 Cox Rd, Gastonia, NC 28054-3456 | 2006-08-25 |
Street Address |
3250 FOREST DR STE 50 |
City | COLUMBIA |
State | SC |
Zip Code | 29204-4023 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962955674 | Cheyenne Gunther | Physical Therapy Assistant | 3250 Forest Dr, Suite 50, Columbia, SC 29204-4023 | 2016-07-28 |
1710430657 | Pinnacle Physical Therapy & Personal Training, LLC | Physical Therapist | 3250 Forest Dr, Suite 50, Columbia, SC 29204-4023 | 2016-07-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992215149 | Ricardo Colon II | Registered Nurse | 3000 Hampton Street, Columbia, SC 29204 | 2017-10-02 |
1780113522 | Carla Star Noe | Registered Nurse | Sc Department of Health and Environmental Control, 2100 Bull Street, Collumbia, SC 29204 | 2017-06-06 |
1124568514 | Kristy L Thompson | Nurse Practitioner | 1655 Bernardin Ave Ste 240, Columbia, SC 29204 | 2017-03-03 |
1982052031 | Harold Eugene Cook Iv | Podiatrist | 1730 St Julian Place, Columbia, SC 29204 | 2016-05-31 |
1851748974 | Shaquita Banks | Counselor | 1810 Allen Benedict Ct, A1, Columbia, SC 29204 | 2016-05-18 |
1265804835 | Premier Care, LLC | Case Management | 2712 Middleburg Drive, Suite 206, Columbia, SC 29204 | 2015-10-22 |
1023492287 | Shamiquia N. Mcpherson | Counselor | 1627 Auburn St., Columbia, SC 29204 | 2015-07-16 |
1285028449 | The Columbia Free Medical Clinic, Inc. | Clinic/Center | 1875 Harden Street, Columbia, SC 29204 | 2015-03-26 |
1629473459 | Leslie Wilson | Counselor | 2323 Lady Street, Columbia, SC 29204 | 2014-10-22 |
1053728683 | Candyce Sutton | Social Worker | 1135 Carter Street, Columbia, SC 29204 | 2014-07-15 |
Find all providers in zip 29204 |
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 |
---|---|---|---|---|
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 |
1134126659 | Caldwell Memorial Hospital Inc | Rehabilitation Unit | 411 Main St, Columbia, LA 71418-6704 | 2005-06-30 |
1134544554 | Rachel Rose | Rehabilitation Unit | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2014-02-21 |
1427258953 | Curators of The University of Missouri | Rehabilitation Unit | 404 Keene St, Columbia, MO 65201-6626 | 2007-07-23 |
1386751451 | Ch Allied Services, Inc. | Rehabilitation Unit | 1600 E Broadway, Columbia, MO 65201-5844 | 2006-08-24 |
1033103262 | Curators of The University of Missouri | Rehabilitation Unit | 404 Keene St, Columbia, MO 65201-6626 | 2005-09-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558739649 | Prisma Health | Rehabilitation Unit | 104 Saluda Point Drive, Lexington, SC 29072 | 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 |
1184135758 | Grand Strand Regional Medical Center, LLC | Rehabilitation Unit | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2017-10-23 |
1477075034 | Aiken Regional Medical Centers LLC | Rehabilitation Unit | 302 University Pkwy, Aiken, SC 29801 | 2017-07-14 |
1578918504 | Clemson Sports Medicine and Rehabilitation, Inc | Rehabilitation Unit | 9313 Medical Plaza Dr, Suite 306, Charleston, SC 29406-9155 | 2016-04-27 |
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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.