# PIEDMONT REHABILITATION MEDICINE

> 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:** 1386836120
- **Authorized official:** NIEDRA ROBINSON (CREDENTIALING MANAGER)
- **Authorized official phone:** (817) 284-9850

## Contact information

- **Practice address:** 160 HAROLD FLEMING CT, SPARTANBURG, SC 29303
- **Practice address phone:** (864) 594-9600
- **Practice address fax:** (864) 594-9823
- **Mailing address:** PO BOX 678361, DALLAS, TX 75267-8361
- **Mailing address phone:** (817) 284-9850
- **Mailing address fax:** (817) 284-3425

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | MD15580 | SC | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | — |

## Other

- **Enumeration date:** 08/15/2007
- **Last updated:** 07/31/2018