CLEMSON SPORTS MEDICINE AND REHABILITATION, INC (NPI# 1730355314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730355314 |
| Entity Type | Organization |
| Organization Name | CLEMSON SPORTS MEDICINE AND REHABILITATION, INC |
| Other Organization Name | SPORTS PLUS |
| Practice Address |
5401 Netherby Rd Bldg 300 Suite 302 North Charleston SC 29420-7363 |
| Mailing Address |
Po Box 1844 Clemson SC 29633-1844 |
| Practice Telephone | 8432255211 |
| Practice Fax Number | 8432255513 |
| Mailing Telephone | 8644820064 |
| Mailing Fax Number | 8644820081 |
| Enumeration Date | 2008-05-05 |
| 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 REHAB |
| 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 | SC | 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 |
| 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 |
| 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 |
5401 NETHERBY RD BLDG 300 SUITE 302 |
| City | NORTH CHARLESTON |
| State | SC |
| Zip Code | 29420-7363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477867281 | R Jason J Hehr, Dmd, LLC | Clinic/Center | 5401 Netherby Rd, Suite 1200, North Charleston, SC 29420-7363 | 2010-08-04 |
| 1790914638 | Nicole R Schneider | Physical Therapist | 5401 Netherby Rd, Bldg 300, North Charleston, SC 29420-7363 | 2009-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467994343 | Sherrel Aiken Brown | Psychologist | 8202 Pleasant Ridge Dr, North Charleston, SC 29420 | 2016-11-09 |
| 1609209014 | Melanie K Wise | Licensed Practical Nurse | 7763 Northside Drive, North Charleston, SC 29420 | 2013-08-21 |
| 1477883767 | Gina H Jones | Counselor | 5421 Riverbluff Pkwy, North Charleston, SC 29420 | 2010-01-08 |
| 1881825933 | Thomas Nelson Pare IIi IIi | Dentist | 8626 Dorchester Road, Ste 102, Coosaw Dental, North Charleston, SC 29420 | 2009-08-06 |
| 1992953012 | Research & Education In Sleep Technologies, LLC | Clinic/Center | 8352 Whitehave Drive, North Charleston, SC 29420 | 2008-09-03 |
| 1194838532 | Raymond S Vicente | Dentist | 7481 Northside Dr, Suite A, North Charleston, SC 29420 | 2006-08-17 |
| 1083628697 | Eunice D Freeman | Counselor | 403 Willow Court, N.charleston, SC 29420 | 2006-07-28 |
| 1750300406 | Alan Boyer Mcdaniel | Specialist | 7510 Northforest Drive, North Charleston, SC 29420 | 2006-07-19 |
| 1548240559 | John Joseph Forney | Family Medicine | 8761 Dorchester Rd Suite 230, Charleston, SC 29420 | 2006-01-18 |
| 1609320217 | Charleston Dermatology, PC | Dermatology | 5401 Netherby Lane, Ste 1202, North Charleston, SC 29420 | 2016-08-11 |
| Find all providers in zip 29420 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| Find all providers with the same taxonomy | ||||
| City | NORTH CHARLESTON |
| Zip Code | 29420 |
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.