NPIMap

Organization Active NPI

Accelerated Physical Therapy PA

  • Physical Therapy Clinic/Center
  • Simpsonville, SC
National Provider Identifier
1083775647
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ACCELERATED PHYSICAL THERAPY PA
Practice address
877 NE Main St Ste B
Simpsonville, SC 29681-2063
Phone
(864) 962-8016
Fax
(864) 962-8116
NPI assigned
Dec 13, 2006
Last updated
Jan 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Authorized official

Name
Mr. Roger Bachour, PTNPI 1720092026
Title
President
Phone
(864) 233-4477

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

877 NE Main St Ste B
Simpsonville, SC 29681-2063

Mailing address

877 NE Main St Ste B
Simpsonville, SC 29681-2063
Phone (864) 962-8016

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050411000991 SC Part B Supplier - Clinic/Group Practice 5698712735 Receives reassigned benefits from 8 practitioners
3 other NPIs on this enrollment
Practice locations: Greer, SC; Travelers Rest, SC; Simpsonville, SC; Greenville, SC

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Accelerated Physical Therapy PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

883 NE Main St
Simpsonville, SC 29681
Phone (864) 383-0384

6717 State Park Rd
#C
Travelers Rest, SC 29690
Phone (864) 233-4477

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738195200000",
    "number": "1083775647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "877 NE MAIN ST STE B",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296812063",
            "telephone_number": "864-962-8016",
            "fax_number": "864-962-8116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "877 NE MAIN ST STE B",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296812063",
            "telephone_number": "864-962-8016",
            "fax_number": "864-962-8116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCELERATED PHYSICAL THERAPY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A",
        "authorized_official_last_name": "BACHOUR",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-233-4477",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simpsonville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.