# CLEMSON SPORTS MEDICINE AND REHABILITATION, INC

> 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
- **Parent organization:** CLEMSON SPORTS MEDICINE AND REHABILITATION
- **Other names:** Sports Plus
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1689773624
- **Legal business name:** CLEMSON SPORTS MEDICINE AND REHABILITATION
- **Authorized official:** CHARLEEN FITZGERALD (CREDENTIALING)
- **Authorized official phone:** (864) 482-0064

## Contact information

- **Practice address:** 303 PARK ST, BELMONT, NC 28012-3367
- **Practice address phone:** (704) 829-9800
- **Practice address fax:** (704) 829-9810
- **Mailing address:** PO BOX 1844, CLEMSON, SC 29633-1844
- **Mailing address phone:** (864) 482-0064

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |
| 273Y00000X | Rehabilitation Hospital Unit | — | NULL | Yes |

## Other

- **Enumeration date:** 09/22/2006
- **Last updated:** 11/17/2014