CLEMSON SPORTS MEDICINE AND REHABILITATION, INC.


Address: 3250 Forest Dr, Ste 50, Columbia, SC 29204-4023
Phone: 8037260309

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).

Provider Overview

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.

Taxonomy

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 Provider/Organization Names

Other Name Type Code
Pinnacle Physical Therapy Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 3250 FOREST DR
STE 50
City COLUMBIA
State SC
Zip Code 29204-4023

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 273Y00000X
Grouping Hospital Units
Classification Rehabilitation Unit

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City COLUMBIA
Zip Code 29204

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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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