The Sports Medicine Shop, Inc
Durable Medical Equipment & Medical Supplies
1205 Ella St Ste A, Anderson
South Carolina, 29621-4811
864-760-0909 866-594-2740
The Sports Medicine Shop, Inc is a Durable Medical Equipment & Medical Supplies in Anderson, South Carolina. It is located at 1205 Ella St Ste A, Anderson and it's customer support contact number is 864-760-0909. The authorized person of The Sports Medicine Shop, Inc is Jennifer Jeanne Smith who is Vp Operations of this DME and his contact number is 864-760-0909. The Sports Medicine Shop, Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
The Sports Medicine Shop, Inc is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
The Sports Medicine Shop, Inc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | The Sports Medicine Shop, Inc |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 1205 Ella St Ste A, Anderson,
South Carolina, 29621-4811 |
| Phone: | 864-760-0909 |
| Fax: | 866-594-2740 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Jennifer Jeanne Smith |
| Position: | Vp Operations |
| Contact Number: | 864-760-0909 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1508139908 |
| NPI Enumeration Date: | 15 Feb, 2012 |
| NPI Last Update On: | 13 Jul, 2021 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for The Sports Medicine Shop, Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| DE3476 | Medicaid | South Carolina | |
Medicare Enrollment:
The Sports Medicine Shop, Inc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 6002069002 | O20121226000087 | The Sports Medicine Shop, Inc | DME SUPPLIER - ORTHOTIC PERSONNEL |
Products Available:
The Sports Medicine Shop, Inc has following products available for sale under medicare.
| Products: |
|---|
| • Continuous Passive Motion (cpm) Devices | • Dynamic Splints |
| • Heat & Cold Applications | • Orthoses: Custom Fabricated |
| • Orthoses: Off-the-shelf | • Orthoses: Prefabricated |
| • Osteogenesis Stimulators | • Traction Equipment |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1205 Ella St Ste A,
Anderson, South Carolina |
| Zip: | 29621-4811 |
| Phone Number: | 864-760-0909 |
| Fax Number: | 866-594-2740 |
Patients can reach The Sports Medicine Shop, Inc at
1205 Ella St Ste A, Anderson, South Carolina or can
call on customer care at 864-760-0909.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.