CMS-1500 Box 24J / 33a • NPI
1083775647
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
261QP2000X (CMS 70)
Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center
Box 32 Service Location & ZIP+4
877 NE MAIN ST STE B, SIMPSONVILLE, SC, 29681-2063
✓ 9-Digit EDI 837 ZIP+4 (29681-2063)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1083775647 (ACCELERATED PHYSICAL THERAPY PA) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1083775647 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | ACCELERATED PHYSICAL THERAPY PA |
| Plain-English Specialty | Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center NUCC Code: 261QP2000X (Clinic/Center, Physical Therapy) |
| Certifying / Licensing Body | Accreditation Association for Ambulatory Health Care (AAAHC) / CMS |
| Practice Location Address | 877 NE MAIN ST STE B, SIMPSONVILLE, SC, 29681-2063 |
| Practice Telephone / Fax | Tel: (864) 962-8016 | Fax: (864) 962-8116 |
| Administrative Mailing Address | 877 NE MAIN ST STE B, SIMPSONVILLE, SC, 29681-2063 |
| Enumeration & Last Sync | Enumerated: 2006-12-13 | CMS Record Updated: 2025-01-30 |
| Authorized Official | ROGER BACHOUR (President) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (261QP2000X)
What Does Taxonomy Code 261QP2000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 261QP2000X translates to:
"Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ACCELERATED PHYSICAL THERAPY PA)
Typical CPT / Diagnostic Procedures:- Walk-In Urgent Care Evaluation, Point-of-Care Testing & X-Ray
- Same-Day Ambulatory Endoscopy, Cataract & Minor Surgical Procedures
- Outpatient Oral Antimicrobials, Analgesics, Nebulizers & Vaccines
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
261QP2000X — Clinic/Center, Physical TherapyPlain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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