CLEMSON SPORTS MEDICINE AND REHABILITATION (NPI# 1396977955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396977955 |
| Entity Type | Organization |
| Organization Name | CLEMSON SPORTS MEDICINE AND REHABILITATION |
| Practice Address |
12023 N Radio Station Rd Ste A Seneca SC 29678-1143 |
| Mailing Address |
Po Box 1844 Clemson SC 29633-1844 |
| Practice Telephone | 8649850770 |
| Practice Fax Number | 8649851770 |
| Mailing Telephone | 8644820064 |
| Mailing Fax Number | 8644820081 |
| Enumeration Date | 2009-08-17 |
| Last Update Date | 2009-08-17 |
| Authorized Official Name | JENNIFER WILMOT (A/R SUPERVISOR) |
| 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 |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578791489 | Clemson Sports Medicine and Rehabilitation | Clinic/Center | 210 Village Center Blvd Ste 100, Myrtle Beach, SC 29579-6683 | 2009-06-30 |
| 1881850634 | Clemson Sports Medicine and Rehabilitation | Clinic/Center | 1051 Stamp Creek Rd, Salem, SC 29676-4516 | 2008-07-31 |
| 1336224583 | Clemson Sports Medicine and Rehabilitation | Clinic/Center | 93b Springview Ln, Summerville, SC 29485-8154 | 2006-10-26 |
| 1912082165 | Clemson Sports Medicine and Rehabilitation | Clinic/Center | 184 University Pkwy, Aiken, SC 29801-6308 | 2006-10-26 |
| 1568544286 | Clemson Sports Medicine and Rehabilitation | Clinic/Center | 12023 N Radio Station Rd Ste A, Seneca, SC 29678-1143 | 2006-10-20 |
| 1013007244 | Clemson Sports Medicine and Rehabilitation | Clinic/Center | 1019 Tiger Blvd, Unit 105, Clemson, SC 29631-2916 | 2006-10-16 |
| 1306244538 | Clemson Sports Medicine and Rehabilitation | Durable Medical Equipment & Medical Supplies | 119 Office Park Dr, Orangeburg, SC 29118-2407 | 2014-12-22 |
| 1154727907 | Clemson Sports Medicine and Rehabilitation | Physical Therapist | 1909 N Highway 17, Suite Q, Mt Pleasant, SC 29464-7459 | 2014-11-06 |
| 1649676578 | Clemson Sports Medicine and Rehabilitation | Clinic/Center | 2295 Henry Tecklenburg Dr, Charleston, SC 29414-7801 | 2014-11-04 |
| 1528462371 | Clemson Sports Medicine and Rehabilitation | Clinic/Center | 1909 N Highway 17, Suite Q, Mt Pleasant, SC 29464-7459 | 2014-10-22 |
| Street Address |
12023 N RADIO STATION RD STE A |
| City | SENECA |
| State | SC |
| Zip Code | 29678-1143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568544286 | Clemson Sports Medicine and Rehabilitation | Clinic/Center | 12023 N Radio Station Rd Ste A, Seneca, SC 29678-1143 | 2006-10-20 |
| 1518565373 | Glenn Fleenor | Physical Therapist | 12023 N Radio Station Rd Ste A, Seneca, SC 29678-1143 | 2020-10-14 |
| 1245888999 | Gregory J Kareis | Physical Therapist | 12023 N Radio Station Rd Ste A, Seneca, SC 29678-1143 | 2019-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649803313 | Synergy Spine Center, Pa | Pain Medicine | 457 U.S. Highway 123, Suite D, Seneca, SC 29678 | 2020-02-20 |
| 1437630746 | Greenville Health Corporation | Durable Medical Equipment & Medical Supplies | 10708 Clemson Blvd, Seneca, SC 29678 | 2018-08-24 |
| 1497233415 | Southern Telco, Inc. | Emergency Response System Companies | 15879 Wells Hwy, Seneca, SC 29678 | 2018-08-01 |
| 1598252199 | Chana Ashlan Land | Counselor | 530 By Pass 123 Ste E2, Seneca, SC 29678 | 2018-04-18 |
| 1679972632 | Anesthesia At Synergy Spine | Nurse Anesthetist, Certified Registered | 457 E Bypass 123, Seneca, SC 29678 | 2014-08-15 |
| 1548683303 | Carolina Counseling Professionals, LLC | Community/Behavioral Health | 123 Loblolly Pine Dr, Seneca, SC 29678 | 2014-01-30 |
| 1144658170 | Changing Strides Counseling, LLC | Community/Behavioral Health | 123 Loblolly Pine Dr., Seneca, SC 29678 | 2013-10-30 |
| 1417383811 | Martha Williams | Registered Nurse | 101 Honeybee Ln, Seneca, SC 29678 | 2013-09-18 |
| 1073867404 | The Upstate's Golden Corner of Psychiatry | Psychiatry & Neurology | 450 B Bypass 123, Seneca, SC 29678 | 2012-11-07 |
| 1043569916 | Amanda Lee Simpson | Pharmacist | 105 Foothills Center Drive, West Union, SC 29678 | 2012-09-06 |
| Find all providers in zip 29678 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437630746 | Greenville Health Corporation | Durable Medical Equipment & Medical Supplies | 10708 Clemson Blvd, Seneca, SC 29678 | 2018-08-24 |
| 1093002081 | Seneca Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 555 Bypass Highway 123, Suite C, Seneca, SC 29678-0809 | 2011-06-29 |
| 1154586063 | South Carolina Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1504 Blue Ridge Blvd, Seneca, SC 29672-6601 | 2008-07-21 |
| 1811150451 | H. Joseph Foster IIi | Durable Medical Equipment & Medical Supplies | 841 W North 1st St, Seneca, SC 29678-2528 | 2008-07-03 |
| 1073783775 | Guardian Business Group | Durable Medical Equipment & Medical Supplies | 3742 E 29th Rd, Seneca, IL 61360 | 2008-03-10 |
| 1184809386 | Ali's Fine Lingerie, LLC | Durable Medical Equipment & Medical Supplies | 1085 Old Clemson Hwy, Suite I, Seneca, SC 29672-8028 | 2008-01-07 |
| 1821291840 | Prosthetic Care of Anderson, LLC | Durable Medical Equipment & Medical Supplies | 12b Boardwalk Pl, The Commons, Seneca, SC 29678-2671 | 2007-06-07 |
| 1164647350 | American Medical Consultants, LLC | Durable Medical Equipment & Medical Supplies | 300 Delphi Dr, Seneca, SC 29672-6724 | 2007-04-15 |
| 1194949081 | Seneca Amramp | Durable Medical Equipment & Medical Supplies | 177 Country Ln, Seneca, PA 16346-3301 | 2007-04-12 |
| 1750423968 | H. Joseph Foster IIi | Durable Medical Equipment & Medical Supplies | 501 Rochester Hwy Ste C2, Seneca, SC 29672-2463 | 2007-02-13 |
| Find all providers in SENECA | ||||
Please comment or provide details below to improve the information on CLEMSON SPORTS MEDICINE AND REHABILITATION.
| 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.