CLEMSON SPORTS MEDICINE AND REHABILITATION, INC


Address: 9313 Medical Plaza Dr, Suite 306, Charleston, SC 29406-9155
Phone: 8432127510

CLEMSON SPORTS MEDICINE AND REHABILITATION, INC (NPI# 1578918504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578918504
Entity Type Organization
Organization Name CLEMSON SPORTS MEDICINE AND REHABILITATION, INC
Other Organization Name BALANCE MOBILITY & DIZZINESS CENTER
Practice Address 9313 Medical Plaza Dr
Suite 306
Charleston
SC 29406-9155
Mailing Address Po Box 1844
Clemson
SC 29633-1844
Practice Telephone 8432127510
Mailing Telephone 8644820064
Enumeration Date 2016-04-27
Last Update Date 2016-04-27
Authorized Official Name LISA CRANE (A/R SUPERVISOR)
Authorized Official Telephone 8644820064
Is Organization Subpart Y
Parent Organization Name CLEMSON SPORTS MEDICINE AND REHABILITATION, INC.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 273Y00000X Rehabilitation Unit Hospital Units

Other Provider/Organization Names

Other Name Type Code
Balance Mobility & Dizziness Center Doing Business As Name - Organization

Other Provider IDs and Locations

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
1326006222 Clemson Sports Medicine and Rehabilitation, Inc Clinic/Center 1140 Warm Springs Hwy, Manchester, GA 31816-1166 2006-05-02
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

Office Location

Street Address 9313 MEDICAL PLAZA DR
SUITE 306
City CHARLESTON
State SC
Zip Code 29406-9155

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053319400 John Williams Plyler Psychiatry & Neurology 9313 Medical Plaza Dr, Suite 310, Charleston, SC 29406-9155 2005-07-11
1992237275 Rhonda L. Cumbee Nurse Practitioner 9313 Medical Plaza Dr, Suite 202, Charleston, SC 29406-9155 2017-03-28
1871032086 Ppcp Specialty Physicians, LLC Psychiatry & Neurology 9313 Medical Plaza Dr, Ste 310, Charleston, SC 29406-9155 2017-02-21
1902351448 Jillian N. White Nurse Practitioner 9313 Medical Plaza Dr, Suite 202, Charleston, SC 29406-9155 2016-08-24
1699140103 Palmetto Primary Care Physicians Family Medicine 9313 Medical Plaza Dr, Suite 308, Charleston, SC 29406-9155 2015-12-09
1831565035 Kerrison Neurological Surgery 9313 Medical Plaza Dr, Suite 305, Charleston, SC 29406-9155 2015-08-11
1740575307 Robert Matthew Carlile Psychiatry & Neurology 9313 Medical Plaza Dr, Suite 310, Charleston, SC 29406-9155 2011-06-12
1285860098 Palmetto Vein Specialists, LLC Clinic/Center 9313 Medical Plaza Dr, Ste 303, Charleston, SC 29406-9155 2009-06-08
1235327230 Lowcountry Hematology & Oncology, Pa Specialist 9313 Medical Plaza Dr, Suite 204, Charleston, SC 29406-9155 2007-10-04
1508921750 Charleston Neurology Associates, LLC Psychiatry & Neurology 9313 Medical Plaza Dr, Suite 310, Charleston, SC 29406-9155 2006-12-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023622289 Sara Desmarais Physical Therapist 2760 Tricom St, North Charleston, SC 29406 2020-09-04
1669036448 Pink Elephant Autism Project In Home Supportive Care 8738 Red Oak Drive, Charleston, SC 29406 2019-04-26
1083171185 Medical University Hospital Authority Pharmacy 2250 Mall Drive, North Charleston, SC 29406 2019-02-25
1336627371 Truesdale Medical Center LLC Internal Medicine 6296 Rivers Ave., Suite 310, N. Charleston, SC 29406 2018-08-01
1164914552 Amanda R Dipiazza Nurse Anesthetist, Certified Registered 9330 Medical Plaza Dr Ste E, Charleston, SC 29406 2018-06-01
1982148490 Trident Medical Center Psychiatric Hospital 9225 C Medical Plaza Drive, Charleston, SC 29406 2016-12-19
1649726217 First Choice Counseling Services, LLC Community/Behavioral Health 2245 Greenridge Rd., Unit#414, North Charleston, SC 29406 2016-09-01
1821443896 Liberty Doctors, LLC Family Medicine 9275 D Medical Plaza Dr., North Charleston, SC 29406 2016-04-27
1174984645 Ashia George Developmental Therapist 6650 Rivers Avenue, Ste 100, Charleston, SC 29406 2016-03-11
1023488582 Etta Smith Counselor 2470 Mall Dr Unit Cd, North Charleston, SC 29406 2015-09-28
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Taxonomy Information

Taxonomy Code 273Y00000X
Grouping Hospital Units
Classification Rehabilitation Unit

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598189797 Trident Medical Center, LLC Rehabilitation Unit 9330 Medical Plaza Dr, Charleston, SC 29406-9104 2014-02-07
1275503799 Roper Hospital, Inc Rehabilitation Unit 316 Calhoun St, Charleston, SC 29401-1113 2006-01-26
1639168693 Charleston Area Medical Center Inc Rehabilitation Unit 501 Morris St, Charleston, WV 25301-1326 2005-10-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1558739649 Prisma Health Rehabilitation Unit 104 Saluda Point Drive, Lexington, SC 29072 2015-09-08
1134597214 Prisma Health-midlands Rehabilitation Unit 3221 Sunset Blvd Suite B, Columbia, SC 29169-0000 2015-09-08
1043688120 Palmetto Health Rehabilitation Unit 3600 Forest Drive-suite 101, Columbia, SC 29204-0000 2015-09-08
1902274095 Prisma Health-midlands Rehabilitation Unit 111 Sparkleberry Crossing Rd Suite 5, Columbia, SC 29229 2015-09-08
1861834673 B&b Occupational Therapy Rehabilitation Unit 9998 Hallsford Dr, Ladson, SC 29456-3849 2013-07-22
1518212232 Medfit Rehabilitation Unit 10071 Broad River Rd Ste B, Irmo, SC 29063-2381 2012-07-18
1508411463 East Cooper Community Hospital, Inc. Rehabilitation Unit 2000 Hospital Dr, Mt Pleasant, SC 29464-3764 2019-08-07
1699248195 Medical University Hospital Authority Rehabilitation Unit 121 E Cedar St, Florence, SC 29506-2576 2019-01-07
1144793654 Medical University Hospital Authority Rehabilitation Unit 800 W Meeting St, Lancaster, SC 29720-2202 2019-01-07
1942772546 Spartanburg Medical Center Rehabilitation Unit 1700 Skylyn Dr, Spartanburg, SC 29307-1041 2018-12-20
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Competitor

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City CHARLESTON
Zip Code 29406

Improve Information

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Dataset Information

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.

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