Active NPI
JVB Physical Therapy Services, Inc.
- Neurology Physical Therapist
- Charleston, SC
National Provider Identifier
1033188396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physical Therapist
- License
- 2723
- Legal business name
- JVB PHYSICAL THERAPY SERVICES, INC.
- Practice address
- 1635 Mulberry St
Charleston, SC 29407-5816 - Phone
- (843) 364-5089
- Fax
- (843) 763-0229
- NPI assigned
- Mar 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jennifaye Verdina Greene, PT, MS, NCS
- Title
- President/Owner Physical Therapist
- Phone
- (843) 364-5089
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physical Therapist | 2251N0400X | 2723 | SC | Primary |
Addresses
Primary practice location
1635 Mulberry St
Charleston, SC 29407-5816
Mailing address
1635 Mulberry St
Charleston, SC 29407-5816
Phone (843) 364-5089
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP4092 | Medicaid | SC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physical Therapist
- Charleston, SC
- NPI 1043289499
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1033188396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1635 MULBERRY ST",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294075816",
"telephone_number": "843-364-5089",
"fax_number": "843-763-0229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1635 MULBERRY ST",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294075816",
"telephone_number": "843-364-5089",
"fax_number": "843-763-0229"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JVB PHYSICAL THERAPY SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-17",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GREENE",
"authorized_official_first_name": "JENNIFAYE",
"authorized_official_middle_name": "VERDINA",
"authorized_official_title_or_position": "PRESIDENT/OWNER PHYSICAL THERAPIST",
"authorized_official_telephone_number": "843-364-5089",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "PT, MS, NCS"
},
"taxonomies": [
{
"code": "2251N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist, Neurology",
"state": "SC",
"license": "2723",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP4092",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.