Healthcare Provider Details

I. General information

NPI: 1669312898
Provider Name (Legal Business Name): REFINED HUMAN PERFORMANCE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

139A LIMESTONE RD
CHAPIN SC
29036-9741
US

IV. Provider business mailing address

139A LIMESTONE RD
CHAPIN SC
29036-9741
US

V. Phone/Fax

Practice location:
  • Phone: 305-807-7301
  • Fax:
Mailing address:
  • Phone: 803-816-1177
  • Fax: 803-897-9877

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: SAMANTHA SCHUBERT
Title or Position: PT
Credential: PT, DPT, OCS
Phone: 305-807-7301