PALMETTO SPINE & SPORTS MEDICINE, PA (NPI# 1942266176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942266176 |
| Entity Type | Organization |
| Organization Name | PALMETTO SPINE & SPORTS MEDICINE, PA |
| Practice Address |
3030 Ashley Town Center Dr Blgd A-102 Charleston SC 29414-5664 |
| Practice Telephone | 8435739997 |
| Practice Fax Number | 8433771446 |
| Mailing Telephone | 8435739997 |
| Mailing Fax Number | 8433771446 |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2011-03-21 |
| Authorized Official Name | DR. TIMOTHY MICHAEL ZGLESZEWSKI (PRESIDENT/PHYSICIAN) |
| Authorized Official Telephone | 8435739997 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP3855 | 05 |
| Street Address |
3030 ASHLEY TOWN CENTER DR BLGD A-102 |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29414-5664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073052270 | Palmetto Spine & Sports Medicine, P.a. | Durable Medical Equipment & Medical Supplies | 3030 Ashley Town Center Dr, Ste. A-102, Charleston, SC 29414-5664 | 2017-02-21 |
| 1104218635 | Sullivan Counseling, LLC | Community/Behavioral Health | 3030 Ashley Town Center Dr, Charleston, SC 29414-5664 | 2015-02-20 |
| 1427472752 | Kelly Crowe | Speech-Language Pathologist | 3030 Ashley Town Center Dr, Suite B-203, Charleston, SC 29414-5664 | 2014-02-06 |
| 1033477203 | Sarah Rose Deyhle | Counselor | 3030 Ashley Town Center Dr, #203b, Charleston, SC 29414-5664 | 2012-04-25 |
| 1053687228 | Katherine Mcmanus Dorsey | Counselor | 3030 Ashley Town Center Dr, Charleston, SC 29414-5664 | 2012-03-31 |
| 1952670101 | Elemental Therapies LLC | Acupuncturist | 3030 Ashley Town Center Dr, Charleston, SC 29414-5664 | 2011-12-16 |
| 1962633008 | Bonnie Compton | Counselor | 3030 Ashley Town Center Dr, Suite B-203, Charleston, SC 29414-5664 | 2009-08-06 |
| 1902035850 | Megan Stock | Speech-Language Pathologist | 3030 Ashley Town Center Dr, Unit B-203, Charleston, SC 29414-5664 | 2009-07-13 |
| 1174767560 | Susan Osbon Shealey | Counselor | 3030 Ashley Town Center Dr, Charleston, SC 29414-5664 | 2009-04-29 |
| 1427297308 | Tanya Peacock Travis | Acupuncturist | 3030 Ashley Town Center Dr, Suite B-203, Charleston, SC 29414-5664 | 2009-02-17 |
| 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 | 2081S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Sports Medicine |
| A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
| Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851900047 | Jacob Louis Slann | Physical Medicine & Rehabilitation | 408 College Ave, Clemson, SC 29631-1441 | 2020-07-24 |
| 1821607185 | Bobby Papariella | Physical Medicine & Rehabilitation | 16 Verona Cir, Simpsonville, SC 29681-6615 | 2020-07-23 |
| 1891209227 | Caleb Sims Whitney | Physical Medicine & Rehabilitation | 10800 Sc 707, Murrells Inlet, SC 29576 | 2017-11-21 |
| 1457884421 | Bryan Keith | Physical Medicine & Rehabilitation | 320 W Butler Rd, Mauldin, SC 29662-2538 | 2017-04-06 |
| 1154388064 | Nancy Rose Lembo | Physical Medicine & Rehabilitation | 763 Travelers Blvd, Suite D, Summerville, SC 29485-8796 | 2006-04-26 |
| 1821624479 | Deepa V Patel | Physical Medicine & Rehabilitation | 2695 Elms Plantation Blvd Ste C, North Charleston, SC 29406-7132 | 2020-03-16 |
| 1356995211 | Okatie Physical Therapy and Sports Medicine | Physical Medicine & Rehabilitation | 149 Riverwalk Blvd Ste 3, Ridgeland, SC 29936-8191 | 2019-07-30 |
| 1366906281 | Olivia Forrest | Physical Medicine & Rehabilitation | 701 Oakland Ave, Rock Hill, SC 29733-7001 | 2019-01-24 |
| 1558889980 | Brandon Lee Edwards | Physical Medicine & Rehabilitation | 2439 Willwood Dr, Florence, SC 29501-3904 | 2017-09-06 |
| 1821512955 | Jacqueline Lee Hawk | Physical Medicine & Rehabilitation | 2439 Willwood Dr, Florence, SC 29501-3904 | 2017-07-31 |
| 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.