Active NPI
Colton Chase Cantley, DPT, PT
- Physical Therapist
- Clemson, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12248
- Practice address
- 379 Old Greenville Hwy Ste 101
Clemson, SC 29631-3156 - Phone
- (864) 624-0120
- NPI assigned
- Feb 5, 2024
- Last updated
- Mar 15, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 12248 | SC | Primary |
Addresses
Primary practice location
379 Old Greenville Hwy Ste 101
Clemson, SC 29631-3156
Mailing address
203 Tulip Tree CT
Easley, SC 29642-7600
Phone (740) 525-5240
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
379 Old Greenville Hwy
Suite 101
Clemson, SC 29631-3156
Phone (864) 624-0120
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12248 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Prisma Health University Medical Group | Current | Accepting new patients |
Locations
379 Old Greenville Hwy
Ste 101
Clemson, SC 29631
Phone (864) 624-0120
210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123
2A Cleveland Ct
Greenville, SC 29607
Phone (864) 271-7761
300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295763217
-
dba Parkside OB-GYN
- Gynecology Physician
- Greer, SC
- NPI 1003619313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710460800000",
"number": "1003679788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 TULIP TREE CT",
"city": "EASLEY",
"state": "SC",
"postal_code": "296427600",
"telephone_number": "740-525-5240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "379 OLD GREENVILLE HWY STE 101",
"city": "CLEMSON",
"state": "SC",
"postal_code": "296313156",
"telephone_number": "864-624-0120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANTLEY",
"first_name": "COLTON",
"middle_name": "CHASE",
"credential": "DPT, PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-02-05",
"last_updated": "2024-03-15",
"certification_date": "2024-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "12248",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clemson, SC
- Ryan Calhoun, DC
- Savannah Eliza Calvert, M.ED., ED.S., LPC-A
- Karen Ann Campbell, LMT
- Cannon Memorial Hospital (AnMed ENT - Clemson)
- Cannon Psychological Associates, PC
- Matthew Cape, PTA
- Carc, Inc. (Clemson Area Retirement Center)
- Carolina Integrative Medicine, PA
- Carolina Oaks Clemson LLC
- Carolina Oaks Dental Care of Clemson, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.