Provider Demographics
NPI:1033128160
Name:CHAPIN REHABILITATION CLINIC, INC.
Entity Type:Organization
Organization Name:CHAPIN REHABILITATION CLINIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RPT PHYSICAL THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:M
Authorized Official - Last Name:CATES
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:803-345-3811
Mailing Address - Street 1:P.O. BOX 337
Mailing Address - Street 2:
Mailing Address - City:CHAPIN
Mailing Address - State:SC
Mailing Address - Zip Code:29036-0337
Mailing Address - Country:US
Mailing Address - Phone:803-345-3811
Mailing Address - Fax:803-345-3018
Practice Address - Street 1:1525 CHAPIN ROAD
Practice Address - Street 2:
Practice Address - City:CHAPIN
Practice Address - State:SC
Practice Address - Zip Code:29036-0337
Practice Address - Country:US
Practice Address - Phone:803-345-3811
Practice Address - Fax:803-345-3018
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-07
Last Update Date:2021-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCGP3151Medicaid
SCGP3151Medicaid