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COLUMBIA REHABILITATION CLINIC NPI 1164404711


NPI Information

NPI: 1164404711
Provider Name: COLUMBIA REHABILITATION CLINIC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
2362 TWO NOTCH RD
COLUMBIA, SC
ZIP 29204
Phone: (803) 799-7007
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COLUMBIA REHABILITATION CLINIC is a specialist in Columbia, SC. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. COLUMBIA REHABILITATION CLINIC NPI is 1164404711. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2362 TWO NOTCH RD
COLUMBIA, SC
ZIP 29204-257
Phone: (803) 799-7007
Fax: (803) 256-8410

The provider's authorized official is Bruce David Filler .
The authorized official title is Physical Therapist/owner and has the following contact phone number (803) 799-7007.

The enumeration date for this NPI number is 11/18/2005 and was last updated on 7/31/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========OTHERSOUTH CAROLINARPN
2=========OTHERSOUTH CAROLINAHUMANA
3=========OTHERSOUTH CAROLINABCBS PPO
4=========OTHERSOUTH CAROLINAAETNA
5=========OTHERSOUTH CAROLINABLUE CHOICE
6=========OTHERSOUTH CAROLINAMETRA HEALTH RRB MEDICARE
7=========OTHERSOUTH CAROLINASC MEDICAID
8=========OTHERSOUTH CAROLINABCBS FEDERAL
9=========OTHERSOUTH CAROLINABCBS OF SC
10=========OTHERSOUTH CAROLINACAROLINA CARE PLAN
11=========OTHERSOUTH CAROLINATRICARE
12=========OTHERSOUTH CAROLINAMEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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