Organization Active NPI

JVB Physical Therapy Services, Inc.

  • Neurology Physical Therapist
  • Charleston, SC
National Provider Identifier
1033188396
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology Physical TherapistTaxonomy code 2251N0400X
License
2723 Issued in SC
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Neurology Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
GP4092MedicaidSC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.