EFFINGHAM REHAB SERVICES, INC. (NPI# 1811218423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811218423 |
| Entity Type | Organization |
| Organization Name | EFFINGHAM REHAB SERVICES, INC. |
| Other Organization Name | SPINE & SPORT CHARLESTON |
| Practice Address |
4600 Goer Dr Ste 206 North Charleston SC 29406-6500 |
| Mailing Address |
135 Goshen Road Ext Ste 206 Rincon GA 31326-5567 |
| Practice Telephone | 8778261509 |
| Practice Fax Number | 9128269767 |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2010-06-17 |
| Authorized Official Name | SEBRENA CAROLIN HOLMES GIBSON (VPA) |
| Authorized Official Telephone | 8778261509 |
| Is Organization Subpart | Y |
| Parent Organization Name | EFFINGHAM REHAB SERVICES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Spine & Sport Charleston | Doing Business As Name - Organization |
| Street Address |
4600 GOER DR STE 206 |
| City | NORTH CHARLESTON |
| State | SC |
| Zip Code | 29406-6500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326017914 | Derek Allen Sessions | Physical Therapist | 4600 Goer Dr, Suite 205, North Charleston, SC 29406-6500 | 2006-03-16 |
| 1124579040 | Glenda Rivers Williams | Specialist | 4600 Goer Dr, Suite 205, North Charleston, SC 29406-6500 | 2016-10-14 |
| 1083077986 | Caitlin J Batten | Physical Therapist | 4600 Goer Dr, Suite 205, North Charleston, SC 29406-6500 | 2016-03-30 |
| 1669613121 | Hudson Chiropractic Clinic | Clinic/Center | 4600 Goer Dr, Ste. 205, North Charleston, SC 29406-6500 | 2009-03-13 |
| 1124276076 | Andrea Marie Styron | Physical Therapist | 4600 Goer Dr, North Charleston, SC 29406-6500 | 2008-09-04 |
| 1588792030 | Carolina Ctr for Occup Health | Preferred Provider Organization | 4600 Goer Dr, Ste. 205, North Charleston, SC 29406-6500 | 2007-02-28 |
| 1497701817 | Barry Lee Weissglass | Family Medicine | 4600 Goer Dr, North Charleston, SC 29406-6500 | 2006-05-26 |
| 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 |
| Find all providers in zip 29406 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700354164 | Palmetto Primary Care Physicians | Clinic/Center | 2500 Elms Center Rd Ste B, North Charleston, SC 29406-9844 | 2018-11-05 |
| 1659725596 | Agilitas Usa, Inc | Clinic/Center | 2791 Tricom St Ste 102, North Charleston, SC 29406-8108 | 2016-04-18 |
| 1295117786 | Agilitas Usa, Inc | Clinic/Center | 3032 W Montague Ave Ste 101, North Charleston, SC 29418-7921 | 2015-06-22 |
| 1730355314 | Clemson Sports Medicine and Rehabilitation, Inc | Clinic/Center | 5401 Netherby Rd, Bldg 300 Suite 302, North Charleston, SC 29420-7363 | 2008-05-05 |
| 1609406727 | Occupational Health Centers of Southwest P.a. | Clinic/Center | 7519 Rivers Ave, North Charleston, SC 29406-4662 | 2020-01-16 |
| 1972166445 | Therapy Centers of South Carolina, P.a. | Clinic/Center | 4600 Goer Dr Ste 205, North Charleston, SC 29406-6536 | 2019-04-19 |
| 1033518766 | Imagine Physical Therapy North Rhett LLC | Clinic/Center | 5111 N Rhett Ave, North Charleston, SC 29405-4219 | 2014-08-19 |
| 1730522491 | Grace Physical Therapy & Sports Rehab., LLC | Clinic/Center | 2695 Elms Plantation Blvd, Suite C, North Charleston, SC 29406-9165 | 2013-04-12 |
| 1720397607 | Atlas Phyiscal Therapy of North Charleston | Clinic/Center | 8720 Northpark Blvd, Suite D, North Charleston, SC 29406-9220 | 2010-09-27 |
| 1851500110 | Fischer Health Services, PC | Clinic/Center | 7481 Northside Dr, Ste. C, North Charleston, SC 29420-4282 | 2007-05-22 |
| Find all providers in NORTH CHARLESTON | ||||
| City | NORTH CHARLESTON |
| Zip Code | 29406 |
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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.