CLEMSON SPORTS MEDICINE AND REHABILITATION, INC (NPI# 1689773624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689773624 |
| Entity Type | Organization |
| Organization Name | CLEMSON SPORTS MEDICINE AND REHABILITATION, INC |
| Other Organization Name | SPORTS PLUS |
| Practice Address |
303 Park St Belmont NC 28012-3367 |
| Mailing Address |
Po Box 1844 Clemson SC 29633-1844 |
| Practice Telephone | 7048299800 |
| Practice Fax Number | 7048299810 |
| Mailing Telephone | 8644820064 |
| Enumeration Date | 2006-09-22 |
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
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 |
| 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 |
| 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 |
303 PARK ST |
| City | BELMONT |
| State | NC |
| Zip Code | 28012-3367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003048661 | Sports Plus | Durable Medical Equipment & Medical Supplies | 303 Park St, Belmont, NC 28012-3367 | 2009-08-17 |
| 1891866315 | Michele Lee Boudreau | Physical Therapist | 303 Park St, Belmont, NC 28012-3367 | 2006-11-13 |
| 1710058854 | Jennifer Frey Zvanut | Physical Therapist | 303 Park St, Belmont, NC 28012-3367 | 2006-11-12 |
| 1780769356 | Chad Martin Silverstrim | Physical Therapy Assistant | 303 Park St, Belmont, NC 28012-3367 | 2006-10-25 |
| 1588746473 | Ryan D Bowllan | Physical Therapist | 303 Park St, Belmont, NC 28012-3367 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902447873 | Lisa Emi Mclemore | Technician | 704 Armstrong Rd, Belmont, NC 28012 | 2019-10-02 |
| 1902453244 | Eli Zipkin | Dentist | 965 South Point Road, Belmont, NC 28012 | 2019-08-21 |
| 1457879892 | Sharon H Miller | Acupuncturist | 684 Park St, Belmont, NC 28012 | 2017-09-06 |
| 1083138242 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 905 South Point Rd, Belmont, NC 28012 | 2017-07-31 |
| 1285079533 | Edoardo Pate | Chiropractor | 6021 W Wilkinson Blvd, Belmont, NC 28012 | 2013-04-30 |
| 1023367430 | Abby C Blowe Dds Pa | Dentist | 8024 Water View Drive, Belmont, NC 28012 | 2012-08-30 |
| 1972885598 | Michelle Marie Watkins | Counselor | 32 N Main St Ste 204, Belmont, NC 28012 | 2011-09-10 |
| 1598050791 | Lauren Swafford | Pharmacist | 6750 Wilkinson Boulevard, Belmont, NC 28012 | 2011-06-15 |
| 1316264831 | Evelyn Maiers Bailey | Respiratory Therapist, Certified | 230 River Loop Rd, Belmont, NC 28012 | 2010-04-23 |
| 1376866079 | Metrolina Psychotherapy Associates P.a. | Social Worker | 1212 Spruce St., Suite 315, Belmont, NC 28012 | 2010-03-09 |
| Find all providers in zip 28012 | ||||
| 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 |
|---|---|---|---|---|
| 1578916003 | Executive Medical Transportation, Ltd | Rehabilitation Unit | 222 Mill Creek Rd, Pollocksville, NC 28573-9312 | 2016-07-20 |
| 1043528763 | Aware Physical Therapy,llc | Rehabilitation Unit | 2803 Lyndhurst Ave, Winston Salem, NC 27103-4109 | 2010-09-15 |
| 1952624512 | Strump Chiropractic and Health | Rehabilitation Unit | 2102 Cambridge Beltway Dr, Ste. D1, Charlotte, NC 28273-3381 | 2010-03-10 |
| 1952359036 | Nash Hospitals Inc | Rehabilitation Unit | 2400 Medpark Dr, Rocky Mount, NC 27804 | 2006-05-04 |
| 1962987131 | The Charlotte-mecklenburg Hospital Authority | Rehabilitation Unit | 10648 Park Rd, Charlotte, NC 28210-8407 | 2018-10-03 |
| 1205225646 | Duke University Health System Inc | Rehabilitation Unit | 5213 S Alston Ave, Durham, NC 27713-4430 | 2015-01-22 |
| 1003248709 | Mercy Hospital, Inc. | Rehabilitation Unit | 10648 Park Rd, Charlotte, NC 28210-8407 | 2013-08-05 |
| 1255675252 | Mission Hospitals | Rehabilitation Unit | 61 Bingham Rd Apt 30a, Asheville, NC 28806-3855 | 2012-11-15 |
| 1093099582 | Dlp Maria Parham Medical Center LLC | Rehabilitation Unit | 566 Ruin Creek Rd, Henderson, NC 27536-2927 | 2011-10-03 |
| 1942439872 | Eileen Riehman Pt, LLC | Rehabilitation Unit | 200 Asheland Ave, Suite 200, Asheville, NC 28801-4016 | 2009-07-13 |
| Find all providers with the same taxonomy | ||||
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.