Elizabeth H Petry-Johnson

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5036 Issued in SC

Practice address

140 Executive Dr
Greer, SC 29651-1200

Phone

(864) 848-6339

Fax

(864) 848-7203

NPI assigned

Jul 27, 2006

Last updated

Jul 18, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Elizabeth Harris Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Elite Integrated Therapy Centers, LLC

  • Physical Therapist
  • Greenville, SC
  • NPI 1184673600
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405641600000",
    "number": "1003820226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1361 W WADE HAMPTON BLVD STE F",
            "address_2": "PMB 207",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296501146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 EXECUTIVE DR",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296511200",
            "telephone_number": "864-848-6339",
            "fax_number": "864-848-7203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRY-JOHNSON",
        "first_name": "ELIZABETH",
        "middle_name": "H",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2014-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "5036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD NUMBER",
            "identifier": "P00263714",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSURANCE PROVIDER NUMBER",
            "identifier": "943423122",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "HARRIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Pelham Vision Center, PA
• Kiara Aleese Peoples, LPN/ CONSULTANT
• Joseph M Pesce, DC
• Peter McPherson, D.M.D., L.L.C. (Twin Falls Family Dentistry)
• Michael Lloyd Peters, MD
• Bonnie Pettus, COTA/L
• Rebecca Lee Petty, PA-C
• Physician Management Services of Eastern South Carolina, LLC
• Lauren Byrd Picard
• Karen Michelle Picone, FNP-BC

• Physical Therapist in Greer, SC
• Providers in Greer, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.