SPORTS PLUS (NPI# 1912139585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912139585 |
| Entity Type | Organization |
| Organization Name | SPORTS PLUS |
| Practice Address |
936 Cox Rd Gastonia NC 28054-3456 |
| Mailing Address |
Po Box 1844 Clemson SC 29633-1844 |
| Practice Telephone | 7048231525 |
| Practice Fax Number | 7048239850 |
| Mailing Telephone | 8644820064 |
| Mailing Fax Number | 8644820081 |
| Enumeration Date | 2009-08-17 |
| Last Update Date | 2009-08-17 |
| Authorized Official Name | JENNIFER WILMOT (A/R SUPERVISOR) |
| Authorized Official Telephone | 8644820064 |
| Is Organization Subpart | Y |
| Parent Organization Name | CLEMSON SPORTS MEDICINE & REHAB INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013149673 | Sports Plus | Durable Medical Equipment & Medical Supplies | 3010 Farrow Rd Ste 100, Columbia, SC 29203-7603 | 2009-08-17 |
| 1376775932 | Sports Plus | Durable Medical Equipment & Medical Supplies | 1715 Country Club Rd Ste E, Jacksonville, NC 28546-6042 | 2009-08-17 |
| 1679705628 | Sports Plus | Durable Medical Equipment & Medical Supplies | 800 Columbiana Dr Ste 50, Irmo, SC 29063-7214 | 2009-08-10 |
| 1255563797 | Sports Plus | Durable Medical Equipment & Medical Supplies | 170 University Pkwy, Aiken, SC 29801-6308 | 2009-08-18 |
| 1740412303 | Sports Plus | Durable Medical Equipment & Medical Supplies | 5401 Netherby Rd Ste 300, N Charleston, SC 29420-7363 | 2009-08-17 |
| 1821220492 | Sports Plus | Durable Medical Equipment & Medical Supplies | 530 North St, Smithfield, NC 27577-4016 | 2009-08-17 |
| 1942432455 | Sports Plus | Durable Medical Equipment & Medical Supplies | 306 Station 22 1/2 St, Sullivans Island, SC 29482-9756 | 2009-08-17 |
| 1003048661 | Sports Plus | Durable Medical Equipment & Medical Supplies | 303 Park St, Belmont, NC 28012-3367 | 2009-08-17 |
| 1871725432 | Sports Plus | Durable Medical Equipment & Medical Supplies | 93b Springview Ln, Summerville, SC 29485-8154 | 2009-08-17 |
| 1497987051 | Sports Plus | Durable Medical Equipment & Medical Supplies | 119 Office Park Dr, Orangeburg, SC 29118-2407 | 2009-08-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | SPORTS PLUS INCORPORATED | 4429 Brookfield Corp. Drive, Suite 100, Chantilly, Virginia 20151 |
| New York State Corporations | SPORTS PLUS LLC | 15 Banbury Lane, Commack, New York 11725 |
| System for Award Management (SAM) Entities | SPORTS PLUS LLC | 7020 Heatherhill Rd, Bethesda, MD 20817-4618 |
| Oregon Corporations, Companies and Business Names | SPORTS PLUS PHOTO | 10450 Sw Evergreen Dr, Wilsonville, OR 97070 |
| Street Address |
936 COX RD |
| City | GASTONIA |
| State | NC |
| Zip Code | 28054-3456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174543300 | Jarrett C. Friday | Specialist/Technologist | 936 Cox Rd, Gastonia, NC 28054-3456 | 2006-07-20 |
| 1336575364 | Patrick Dameron | Physical Therapist | 936 Cox Rd, Gastonia, NC 28054-3456 | 2013-09-23 |
| 1649549577 | Brian C Casto | Physical Therapist | 936 Cox Rd, Gastonia, NC 28054-3456 | 2011-12-21 |
| 1699989830 | Keith Lynn Travis | Specialist/Technologist | 936 Cox Rd, Gastonia, NC 28054-3456 | 2007-05-09 |
| 1285853952 | Timothy Walter Gilbert | Specialist/Technologist | 936 Cox Rd, Gastonia, NC 28054-3456 | 2007-04-24 |
| 1538246517 | Kimberly Michelle Jones | Physical Therapist | 936 Cox Rd, Gastonia, NC 28054-3456 | 2006-11-01 |
| 1881701688 | Clemson Sports Medicine and Rehabilitation, Inc. | Clinic/Center | 936 Cox Rd, Gastonia, NC 28054-3456 | 2006-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225671423 | Michaela Karsyn Morris | Behavioral Analyst | 2875 Court Dr. B, Gastonia, NC 28054 | 2019-10-21 |
| 1982263810 | Brenda Sue Fox | Occupational Therapist | Brian Center, 969 Cox Rd, Gastonia, NC 28054 | 2019-06-13 |
| 1174096911 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 469 Hospital Drive, Suite B1, Gastonia, NC 28054 | 2019-01-04 |
| 1255801817 | Jarae Mcswain | Counselor | 1558 Union Road, Ste F, Gastonia, NC 28054 | 2018-11-27 |
| 1427549807 | Alterman & Dhillon Charlotte Metro, Pplc | Dentist | 2205 E. Franklin Blvd, Ste 110, Gastonia, NC 28054 | 2018-05-22 |
| 1871083147 | Terrence Lamont Campbell | Dentist | 2641 Court Dr Ste A, Gastonia, NC 28054 | 2018-05-13 |
| 1861995367 | Jefferson and Jefferson LLC. | Respite Care | 945 East 6 Ave, Gastonia, NC 28054 | 2018-03-12 |
| 1790154912 | Tyler Adcock | Pharmacist | 2324 South New Hope Rd, Gastonia, NC 28054 | 2015-09-17 |
| 1922481894 | Alesha Nicole Logan | Nurse Practitioner | 1895 Hoffman Rd Ste A, Gastonia, NC 28054 | 2015-07-09 |
| 1457732596 | Buffie Baker Eller | Counselor | 2005 Flint Lane, Gastonia, NC 28054 | 2015-06-15 |
| Find all providers in zip 28054 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962034835 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 2325 Aberdeen Blvd Ste C, Gastonia, NC 28054-0642 | 2020-02-10 |
| 1528417276 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 3350 Robinwood Rd, Gastonia, NC 28054-6689 | 2016-06-03 |
| 1336509363 | Publix North Carolina Lp | Durable Medical Equipment & Medical Supplies | 1949 Hoffman Rd, Gastonia, NC 28054-6574 | 2016-03-03 |
| 1326442237 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 2324 S New Hope Rd, Gastonia, NC 28054-6508 | 2014-10-21 |
| 1548527039 | Compression Store Inc | Durable Medical Equipment & Medical Supplies | 1980 Chespark Dr, Gastonia, NC 28052-9108 | 2012-04-20 |
| 1558649780 | Scivolutions, Inc. | Durable Medical Equipment & Medical Supplies | 1028 Ramsgate Dr, Gastonia, NC 28056-7535 | 2011-07-21 |
| 1790078202 | Maksix Medical Products Inc | Durable Medical Equipment & Medical Supplies | 2421 N Chester St, Gastonia, NC 28052-1809 | 2011-05-17 |
| 1811280498 | Tlc Group, LLC | Durable Medical Equipment & Medical Supplies | 319 E 2nd Ave, Gastonia, NC 28054 | 2011-05-16 |
| 1558593822 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3658 South New Hope Rd, Gastonia, NC 28056 | 2009-08-19 |
| 1558536318 | Cecilia Agor | Durable Medical Equipment & Medical Supplies | 203 S Trenton St, Gastonia, NC 28052-3812 | 2008-04-23 |
| Find all providers in GASTONIA | ||||
Please comment or provide details below to improve the information on SPORTS PLUS.
| 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.