NPIMap

Organization Active NPI

Sports Spine & Industrial, Inc.

  • Physical Therapist
  • Greer, SC
National Provider Identifier
1093748121
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SPORTS SPINE & INDUSTRIAL, INC.
Practice address
140 Executive Dr
Greer, SC 29651-1200
Phone
(864) 801-8706
Fax
(864) 848-7203
NPI assigned
Jul 9, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Amanda Tieder Somers, PTNPI 1356356091
Title
Physical Therapist/Owner
Phone
(864) 801-8706

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X SC Primary

Addresses

Primary practice location

140 Executive Dr
Greer, SC 29651-1200

Mailing address

140 Executive Dr
Greer, SC 29651-1200
Phone (864) 801-8706

National Provider Directory

National Provider Directory

Locations

1361 W Wade Hampton Blvd
Ste F
Greer, SC 29650

1361F W Wade Hampton Blvd
Greer, SC 29650

140 Executive Dr
Greer, SC 29651
Phone (864) 801-8706

816B W Wade Hampton Blvd
Greer, SC 29650
Phone (864) 915-3831

419 SE Main St
Ste 100
Simpsonville, SC 29681
Phone (864) 962-4140

Practitioners & affiliated clinicians

Practitioners 29

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.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1093748121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 EXECUTIVE DR",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296511200",
            "telephone_number": "864-801-8706",
            "fax_number": "864-848-7203"
        },
        {
            "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": "864-801-8706",
            "fax_number": "864-848-7203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS SPINE & INDUSTRIAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2022-07-21",
        "certification_date": "2021-10-13",
        "status": "A",
        "authorized_official_last_name": "SOMERS",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "TIEDER",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "864-801-8706",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greer, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.