CLEMSON SPORTS MEDICINE AND REHABILITATION, INC (NPI# 1326006222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326006222 |
| Entity Type | Organization |
| Organization Name | CLEMSON SPORTS MEDICINE AND REHABILITATION, INC |
| Other Organization Name | SPORTS PLUS |
| Practice Address |
1140 Warm Springs Hwy Manchester GA 31816-1166 |
| Mailing Address |
Po Box 1844 Clemson SC 29633-1844 |
| Practice Telephone | 7068463717 |
| Practice Fax Number | 7068463721 |
| Mailing Telephone | 8644820064 |
| Mailing Fax Number | 8644820081 |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2014-11-17 |
| Authorized Official Name | CHARLEEN FITZGERALD (CREDENTIALING) |
| 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 |
222 | GA | Ambulatory Health Care Facilities |
| Y | 273Y00000X | Rehabilitation Unit | Hospital Units |
| Other Name | Type Code |
|---|---|
| Sports Plus | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689010308 | Clemson Sports Medicine and Rehabilitation, Inc | Clinic/Center | 217a Saint James Ave, Goose Creek, SC 29445-2990 | 2013-05-21 |
| 1821387523 | Clemson Sports Medicine and Rehabilitation, Inc | Clinic/Center | 522 N Magnolia St, Ste A, Summerville, SC 29483-6877 | 2011-04-04 |
| 1730355314 | Clemson Sports Medicine and Rehabilitation, Inc | Clinic/Center | 5401 Netherby Rd, Bldg 300 Suite 302, North Charleston, SC 29420-7363 | 2008-05-05 |
| 1689773624 | Clemson Sports Medicine and Rehabilitation, Inc | Clinic/Center | 303 Park St, Belmont, NC 28012-3367 | 2006-09-22 |
| 1306945357 | Clemson Sports Medicine and Rehabilitation, Inc | Clinic/Center | 108 Gateway Blvd, Suite 211-b, Mooresville, NC 28117-5596 | 2006-09-22 |
| 1023117074 | Clemson Sports Medicine and Rehabilitation, Inc | Clinic/Center | 1715 Country Club Rd., Suite Efg, Jacksonville, NC 28546-6042 | 2006-09-22 |
| 1578918504 | Clemson Sports Medicine and Rehabilitation, Inc | Rehabilitation Unit | 9313 Medical Plaza Dr, Suite 306, Charleston, SC 29406-9155 | 2016-04-27 |
| 1952760001 | Clemson Sports Medicine and Rehabilitation, Inc | Rehabilitation Unit | 4237 River Hills Dr, Suite 110, Little River, SC 29566-6444 | 2016-02-17 |
| 1689844557 | Clemson Sports Medicine and Rehabilitation, Inc | Clinic/Center | 800 Columbiana Dr, Suite 50, Irmo, SC 29063-7213 | 2008-03-07 |
| Street Address |
1140 WARM SPRINGS HWY |
| City | MANCHESTER |
| State | GA |
| Zip Code | 31816-1166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609196278 | Patricia Ann Tribble | Specialist | 1140 Warm Springs Hwy, Manchester, GA 31816-1166 | 2010-06-07 |
| 1629136049 | Turner Blackburn | Physical Therapist | 1140 Warm Springs Hwy, Manchester, GA 31816-1166 | 2006-12-05 |
| 1609944990 | Annette Humphrey | Physical Therapist | 1140 Warm Springs Hwy, Manchester, GA 31816-1166 | 2006-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184987935 | Clyde Copeland | Driver | 5465 Scenic Hts, Manchester, GA 31816 | 2012-06-18 |
| 1417129081 | Fuller Life Chiropractic Center PC | Chiropractor | 23 East Main St, Manchester, GA 31816 | 2008-03-24 |
| 1861694374 | Richard L Ousley Dds PC | Dentist | 404 West Perry Street, Manchester, GA 31816 | 2007-06-05 |
| 1558424093 | Fuller Life Chiropractic Center | Chiropractor | 23 East Main Street, Manchester, GA 31816 | 2006-12-18 |
| 1174980262 | Mortar & Pestle, LLC | Pharmacy | 1194 Warm Springs Hwy, Manchester, GA 31816 | 2016-01-21 |
| 1942616008 | Candice Renee Gaultney | Massage Therapist | 102 W 2nd St, Manchester, GA 31816 | 2014-07-09 |
| 1942586607 | Fuller Life Solutions | Chiropractor | 23 E Main St, Manchester, GA 31816 | 2011-10-26 |
| 1750419446 | Beckhams Hhc Pharmacy Inc | Pharmacist | 1194 Warm Springs Hwy, Manchester, GA 31816-1166 | 2007-03-02 |
| 1942296017 | Allan William Moore | Optometrist | 1180 Warm Springs Hwy, Manchester, GA 31816-1166 | 2005-09-23 |
| 1891817177 | Moore Eye Care | Optometrist | 1180 Warm Springs Hwy, Manchester, GA 31816-1166 | 2007-04-06 |
| Find all providers in zip 31816 | ||||
| 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 |
|---|---|---|---|---|
| 1174068936 | Eat Well & Beyond, LLP | Rehabilitation Unit | 707 Chestnut St, Manchester, NH 03104-3010 | 2017-01-03 |
| 1619071636 | Catholic Medical Center | Rehabilitation Unit | 100 Mcgregor St, Manchester, NH 03102-3730 | 2006-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538631437 | Children's Healthcare of Atlanta At Scottish Rite | Rehabilitation Unit | 1400 Tullie Rd Ne Ste 601, Atlanta, GA 30329-2309 | 2018-12-18 |
| 1316456825 | Children's Healthcare of Atlanta At Scottish Rite | Rehabilitation Unit | 605 Big Shanty Road, Nw, Ste 100, Kennesaw, GA 30144-3646 | 2017-09-27 |
| 1386177798 | Southeast Georgia Health Services, L.L.C. | Rehabilitation Unit | 2500 Satilla Pkwy, Waycross, GA 31503-8852 | 2017-04-04 |
| 1578996245 | Complete Healthcare Management LLC | Rehabilitation Unit | 1060 Deer Chase, Stone Mountain, GA 30088-2404 | 2013-08-16 |
| 1306197702 | Children's Healthcare of Atlanta | Rehabilitation Unit | 2270 Duluth Hwy, Duluth, GA 30097-4010 | 2012-09-25 |
| 1497035489 | Body Mechanics Rehabilitation Services, LLC | Rehabilitation Unit | 524 New River Way, Mcdonough, GA 30252-4153 | 2011-08-22 |
| 1598990376 | Phoebe Sumter Medical Center, Inc. | Rehabilitation Unit | 126 Hwy 280 W, Americus, GA 31719-8645 | 2009-05-21 |
| 1124295274 | Va Medical Center-downtown Division/augusta | Rehabilitation Unit | 3336 Thames Pl, Hephzibah, GA 30815-7176 | 2008-05-08 |
| 1942412754 | Calhoun Memorial Hospital | Rehabilitation Unit | 103 R E Jennings Ave, Arlington, GA 39813 | 2007-05-04 |
| 1134168016 | Northside Hospital, Inc. | Rehabilitation Unit | 3215 Mcclure Bridge Rd, Duluth, GA 30096-3223 | 2006-06-06 |
| Find all providers with the same taxonomy | ||||
| City | MANCHESTER |
| Zip Code | 31816 |
Please comment or provide details below to improve the information on CLEMSON SPORTS MEDICINE AND REHABILITATION, INC.
| 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.