UNIVERSITY PHYSICAL THERAPY AND SPORTS MEDICINE, INC. (NPI# 1720442528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720442528 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY PHYSICAL THERAPY AND SPORTS MEDICINE, INC. |
| Practice Address |
205 Fike Rec Ctr Clemson SC 29634-0001 |
| Mailing Address |
3848 Fau Blvd Ste 105 Boca Raton FL 33431-6437 |
| Practice Telephone | 5613952920 |
| Mailing Telephone | 5613952920 |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2016-04-07 |
| Authorized Official Name | BRAD VAN PELT (PRESIDENT) |
| Authorized Official Telephone | 5613952920 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Street Address |
205 FIKE REC CTR |
| City | CLEMSON |
| State | SC |
| Zip Code | 29634-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215304928 | Hui-lin Tsai | Acupuncturist | 101 Edwards Hall, Clemson, SC 29634 | 2015-08-28 |
| 1619529708 | Kelly Leahy Turney | Specialist/Technologist | 100 Perimeter Dr, Clemson, SC 29634-0001 | 2019-07-10 |
| 1710461132 | Wade Hampton Shugart Iv | Clinic/Center | 205 Fike Rec Center, Clemson, SC 29634-0001 | 2018-09-21 |
| 1417484502 | Alora Marie Sullivan | Specialist/Technologist | 310 Perimeter Rd, Clemson, SC 29634-0001 | 2017-05-19 |
| 1548612823 | Gage Nathaniel Berry | Specialist/Technologist | 110 Heisman St, Clemson, SC 29634-0001 | 2016-07-11 |
| 1174974687 | Cherrish Megan Kyle | Nurse Practitioner | Edwards Hall 101 Mcmillan Rd, Clemson, SC 29634-0001 | 2016-06-27 |
| 1043627342 | Jeffie Trammell | Specialist/Technologist | 301 Centennial Blvd, Clemson, SC 29634-0001 | 2014-07-18 |
| 1871800219 | Clemson University Joseph F. Sullivan Center | Clinic/Center | 201 Epsilon Zeta Dr, 101 Edwards Hall, Clemson, SC 29634-0001 | 2010-09-07 |
| 1013038298 | Rosanne Harkey Pruitt | Nurse Practitioner | Sullivan Ctr, 106 Edwards Hall, Clemson, SC 29634-0001 | 2007-04-03 |
| 1518086180 | Byron Blasdell Harder | General Practice | 344054 Mcmillan, Clemson University, Clemson, SC 29634-0001 | 2007-03-28 |
| Find all providers in zip 29634 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710461132 | Wade Hampton Shugart Iv | Clinic/Center | 205 Fike Rec Center, Clemson, SC 29634-0001 | 2018-09-21 |
| 1538468277 | Clemson Sports Medicine and Rehabilitation Inc | Clinic/Center | 500 Old Greenville Hwy Ste 1, Clemson, SC 29631-1787 | 2011-03-21 |
| 1013007244 | Clemson Sports Medicine and Rehabilitation | Clinic/Center | 1019 Tiger Blvd, Unit 105, Clemson, SC 29631-2916 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104426907 | Firefly Therapy Clinic LLC | Clinic/Center | 2103 Hartness Dr, Greenville, SC 29615-5497 | 2020-10-29 |
| 1457961963 | Midlands Physical Therapy and Wellness LLC. | Clinic/Center | 115 Pettus Ln, Newberry, SC 29108-7719 | 2020-08-10 |
| 1568071017 | Pt Dispatch, LLC | Clinic/Center | 81 Pointe Cir Ste D-18, Greenville, SC 29615-3505 | 2020-07-29 |
| 1356974067 | Mastering Milestones, LLC | Clinic/Center | 1564 Red Tide Rd, Mount Pleasant, SC 29466-9406 | 2020-02-20 |
| 1306480702 | Palmetto Primary Care Physicians, LLC | Clinic/Center | 119 Springhall Dr Ste A2, Goose Creek, SC 29445-5368 | 2019-10-30 |
| 1477197945 | Greene Physical Therapy LLC | Clinic/Center | 824 Farnham Rd, Charleston, SC 29412-4806 | 2019-10-29 |
| 1962045500 | Bright Physical Therapy, LLC | Clinic/Center | 4010 E North St Ste 4, Greenville, SC 29615-6208 | 2019-10-28 |
| 1841848991 | Holistic Therapeutic Services of Sc LLC | Clinic/Center | 3810 Masters Cir, Florence, SC 29501-8514 | 2019-09-03 |
| 1447806518 | Turner Sports Performance, LLC | Clinic/Center | 407 Long Forest Cir, Anderson, SC 29625-1103 | 2019-08-14 |
| 1700348711 | Five Star Rehabilitation and Wellness Services, LLC. | Clinic/Center | 9547 N Kings Hwy, Myrtle Beach, SC 29572 | 2019-04-01 |
| Find all providers with the same taxonomy | ||||
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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.