# EXCEL REHABILITATION AND SPORTS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Excel Rehabilitation and Sports Enhancement LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740358324
- **Authorized official:** MR. RICHARD LEAVER PT (CEO)
- **Authorized official phone:** (166) 356-5000

## Contact information

- **Practice address:** 501 FOREST LN, SUITE A, CLEMSON, SC 29631-2621
- **Practice address phone:** (864) 654-2001
- **Practice address fax:** (800) 305-7112
- **Mailing address:** 625 KENMOOR AVE SE STE 100, GRAND RAPIDS, MI 49546-2395
- **Mailing address phone:** (616) 356-5000
- **Mailing address fax:** (616) 356-5001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225000000X | Orthotic Fitter | — | NULL | — |
| 225000000X | Orthotic Fitter | — | — | — |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 2251S0007X | Sports Physical Therapist | — | NULL | — |
| 2251S0007X | Sports Physical Therapist | — | — | — |
| 2251X0800X | Orthopedic Physical Therapist | — | NULL | — |
| 2251X0800X | Orthopedic Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 225XH1200X | Hand Occupational Therapist | — | NULL | — |
| 225XH1200X | Hand Occupational Therapist | — | — | — |

## Other

- **Enumeration date:** 12/01/2006
- **Last updated:** 05/30/2025