PIVOTAL INJURY AND REHAB INC (NPI# 1386150613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386150613 |
| Entity Type | Organization |
| Organization Name | PIVOTAL INJURY AND REHAB INC |
| Practice Address |
2627 Millwood Ave Ste C Columbia SC 29205-1273 |
| Mailing Address |
Po Box 2632 Lexington SC 29071-2632 |
| Practice Telephone | 8032189886 |
| Mailing Telephone | 8032189886 |
| Enumeration Date | 2017-12-22 |
| Last Update Date | 2018-01-03 |
| Authorized Official Name | JASON FARMER (OWNER) |
| Authorized Official Telephone | 8032544699 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | Chiropractic Providers | ||
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Street Address |
2627 MILLWOOD AVE STE C |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29205-1273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225231905 | Jason Brent Farmer | Chiropractor | 2627 Millwood Ave Ste C, Columbia, SC 29205-1273 | 2007-06-08 |
| 1679899488 | Ryan Wayne Bowers | Chiropractor | 2627 Millwood Ave Ste C, Columbia, SC 29205-1273 | 2010-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104462241 | New Life Home Care LLC | In Home Supportive Care | 4423 Ste. D, Devine Street, Columbia, SC 29205 | 2019-11-25 |
| 1689144222 | Jessica M Jarman LLC | Counselor | 610 Holly St., Columbia, SC 29205 | 2018-11-27 |
| 1073083648 | Christopher James Troyer | Psychologist | 2805 Millwood Ave., Columbia, SC 29205 | 2018-11-27 |
| 1891277505 | Daniel Long | Pharmacist | 630 Kilbourne Road, Columbia, SC 29205 | 2018-08-30 |
| 1699126136 | Steven Matthew Ferrufino | Counselor | 417 S Edisto Ave, Columbia, SC 29205 | 2016-06-27 |
| 1619351863 | Deangela Lenore Delaney | Nurse Practitioner | 2739 Laurel Street, Columbia, SC 29205 | 2015-07-17 |
| 1548677131 | Maegan Elizabeth Dean | Pharmacist | 2708 Rosewood Drive, Columbia, SC 29205 | 2014-07-16 |
| 1144561465 | Abby Habicht | Speech-Language Pathologist | 705 Maple St., H 102, Columbia, SC 29205 | 2013-03-12 |
| 1750630562 | Pamela B. Robertson | Pharmacist | 3312 Devine Street, Columbia, SC 29205 | 2012-09-07 |
| 1609124023 | Kristen Anne Tice | Dietitian, Registered | 1029 Deerwood Street, Columbia, SC 29205 | 2012-08-15 |
| Find all providers in zip 29205 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1053492280 | Prisma Health-midlands | Clinic/Center | 9 Medical Park Suite 305, Palmetto Health Richland Diabetes Education, Columbia, SC 29203-6863 | 2006-10-17 |
| 1104914464 | Way Station Inc | Clinic/Center | 9030 State Route 108, Columbia, MD 21045-1951 | 2006-10-11 |
| 1184675316 | South Carolina Dept of Mental Health Accounting Office | Clinic/Center | 8301 Farrow Rd, Columbia, SC 29203-3245 | 2006-05-12 |
| 1811594294 | Lexington Health Inc | Clinic/Center | 7035 Saint Andrews Rd, Columbia, SC 29212-1177 | 2020-10-08 |
| 1003455627 | Ethos Health Maryland 3 LLC | Clinic/Center | 10840 Little Patuxent Pkwy, Columbia, MD 21044-3115 | 2019-12-30 |
| 1912554353 | T&s Wellness LLC | Clinic/Center | 201 Columbia Mall Blvd Ste 189, Columbia, SC 29223-7550 | 2019-08-21 |
| Find all providers in COLUMBIA | ||||
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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.