| Spartanburg Rehabilitation Institute Inc. | |
|
160 Harold Fleming Ct Spartanburg SC 29303-4226 | |
| (864) 594-9600 | |
| (864) 594-9823 |
| Full Name | Spartanburg Rehabilitation Institute Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 160 Harold Fleming Ct, Spartanburg, South Carolina |
| Authorized Official Name and Position | Denise Kann (VICE PRESIDENT AND SECRETARY) |
| Authorized Official Contact | 9722162299 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spartanburg Rehabilitation Institute Inc. 1024 N Galloway Ave Ste 102 Mesquite TX 75149-2434 Ph: (972) 216-2299 | Spartanburg Rehabilitation Institute Inc. 160 Harold Fleming Ct Spartanburg SC 29303-4226 Ph: (864) 594-9600 |
| NPI Number | 1124890546 |
|---|---|
| Provider Enumeration Date | 10/30/2023 |
| Last Update Date | 10/30/2023 |
| Medicare PECOS PAC ID | 0840438768 |
|---|---|
| Medicare Enrollment ID | O20231215003115 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124890546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Whitney E Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790152460 PECOS PAC ID: 9638472780 Enrollment ID: I20160122001037 |
| Provider Name | Ryan T Hudson |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1306266390 PECOS PAC ID: 8527367689 Enrollment ID: I20180703001344 |
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