SOUTHERN ORTHOPAEDIC PHYSICAL THERAPY,LLC (NPI# 1225050271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225050271 |
| Entity Type | Organization |
| Organization Name | SOUTHERN ORTHOPAEDIC PHYSICAL THERAPY,LLC |
| Practice Address |
1718 Saint Julian Pl Columbia SC 29204-2410 |
| Practice Telephone | 8033768880 |
| Practice Fax Number | 8033768881 |
| Mailing Telephone | 8033768880 |
| Mailing Fax Number | 8033768881 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2008-01-30 |
| Authorized Official Name | CYNTHIA J EKMAN (PRESIDENT) |
| Authorized Official Telephone | 8033768880 |
| Authorized Official Credential | PYSICAL THERAPIS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
3168 | SC | Allopathic & Osteopathic Physicians |
| Street Address |
1718 SAINT JULIAN PL |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29204-2410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013965789 | Southern Orthopaedic Sports Medicne | Orthopaedic Surgery | 1718 Saint Julian Pl, Columbia, SC 29204-2410 | 2006-05-05 |
| 1609368356 | Matthew Garrett Ulcak | Physical Therapist | 1718 Saint Julian Pl, Columbia, SC 29204-2410 | 2018-05-30 |
| 1770785503 | John Eric Ashton | Physician Assistant | 1718 Saint Julian Pl, Columbia, SC 29204-2410 | 2007-06-04 |
| 1043421241 | Oakley Baumgardner Smyth | Physical Therapist | 1718 Saint Julian Pl, Columbia, SC 29204-2410 | 2007-05-28 |
| 1265454219 | Cynthia J Ekman | Physical Medicine & Rehabilitation | 1718 Saint Julian Pl, Columbia, SC 29204-2410 | 2006-07-25 |
| 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 | 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 |
|---|---|---|---|---|
| 1003313966 | Performance Physical Therapy and Sports Rehabilitation LLC | Physical Medicine & Rehabilitation | 5501 Twin Knolls Rd Ste 111, Columbia, MD 21045-3260 | 2018-04-09 |
| 1275063489 | Alexandra Catherine Roemer | Physical Medicine & Rehabilitation | 300 Palmetto Health Pkwy Ste 201, Columbia, SC 29212-1762 | 2017-06-20 |
| 1659702579 | Kyle Anthony Martin | Physical Medicine & Rehabilitation | 10700 Charter Dr, Columbia, MD 21044-3629 | 2013-12-02 |
| 1992042360 | Jessica Alexis Koller | Physical Medicine & Rehabilitation | 2 Medical Park Rd, Columbia, SC 29203-6808 | 2013-01-05 |
| 1265454219 | Cynthia J Ekman | Physical Medicine & Rehabilitation | 1718 Saint Julian Pl, Columbia, SC 29204-2410 | 2006-07-25 |
| 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 |
| 1942266176 | Palmetto Spine & Sports Medicine, Pa | Physical Medicine & Rehabilitation | 3030 Ashley Town Center Dr, Blgd A-102, Charleston, SC 29414-5664 | 2006-04-25 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.