# UNIVERSITY OF SOUTH CAROLINA PHYSICAL THERAPY CLINIC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003929746
- **Authorized official:** NANCY CORNETTE (BUSINESS MANAGER)
- **Authorized official phone:** (803) 777-0486

## Contact information

- **Practice address:** BLATT PHYSICAL EDUCATION CTR, 1300 WHEAT STREET ROOM 104, COLUMBIA, SC 29208-0001
- **Practice address phone:** (803) 777-0486
- **Practice address fax:** (803) 777-8422
- **Mailing address:** 1300 WHEAT STREET, BLATT PE CENTER ROOM 104, COLUMBIA, SC 29208
- **Mailing address phone:** (803) 777-0486
- **Mailing address fax:** (803) 777-8422

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 08/16/2006
- **Last updated:** 08/22/2020