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FORT MILL SPINE AND SPORTS REHAB, LLC
NPI 1386434074
Chiropractor in Fort Mill, SC

Active since May 07, 2025
1096 ASSEMBLY DR STE 310, FORT MILL, SC 29708(803) 547-9800 Get Directions Write a Review

NPPES record last updated: May 7, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Fort Mill Spine And Sports Rehab, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FORT MILL SPINE AND SPORTS REHAB, LLC (NPI 1386434074) is a healthcare organization registered as a chiropractor in Fort Mill, South Carolina and active in the NPI registry since May 2025. The organization lists Fikri Soussi, Owner, as its authorized official.

NPPES Registry Identity

NPI1386434074
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameFORT MILL SPINE AND SPORTS REHAB, LLC
Location Address1096 ASSEMBLY DR STE 310Fort Mill, SC 29708-6450
Mailing Address1096 Assembly Dr Ste 310Fort Mill, SC 29708-6450 · (803) 547-9800
Phone(803) 547-9800
Organization SubpartNo
Authorized OfficialFikri SoussiOwner · (803) 547-9800
Enumeration DateMay 7, 2025
NPPES CertifiedMay 7, 2025
✔ NPI 1386434074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Also ListedPhysical TherapistTaxonomy 225100000X
1096 ASSEMBLY DR STE 310, Fort Mill, SC 29708
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fort Mill Spine And Sports Rehab, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Fort Mill Spine And Sports Rehab, LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Jared Sams, DC
Chiropractic
NPI 1770020075
985 MARKET ST STE 201
Fort Mill, SC 29708
(803) 547-9800
✔ Accepts Medicare0.1 mi
Laura Sundquist, PT
Physical Therapist in Private Practice
NPI 1427305978
1277 CAROLINA ORCHARDS BLVD
Fort Mill, SC 29715
(773) 991-3388
✔ Accepts Medicare3.0 mi
Courtenay Boyle, D.C.
Chiropractic
NPI 1568856052
1433 HEATHER LN STE D
Charlotte, NC 28209
(980) 201-8939
12 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fort Mill Spine And Sports Rehab, LLC's NPI number?

The NPI number for Fort Mill Spine And Sports Rehab, LLC is 1386434074. It was assigned to this organization in the NPPES registry on May 7, 2025.

Where is Fort Mill Spine And Sports Rehab, LLC located?

Fort Mill Spine And Sports Rehab, LLC is located at 1096 Assembly Dr Ste 310, Fort Mill, SC 29708. The listed phone number is (803) 547-9800.

What is Fort Mill Spine And Sports Rehab, LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Fort Mill Spine And Sports Rehab, LLC enrolled in Medicare?

Yes. Fort Mill Spine And Sports Rehab, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fort Mill Spine And Sports Rehab, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Fort Mill Spine And Sports Rehab, LLC, in Chiropractic and Physical Therapist in Private Practice. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Fort Mill Spine And Sports Rehab, LLC was last updated on May 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.