Organization Active NPI

Flourish Physical Therapy LLC

  • Geriatric Physical Therapist
  • Fort Mill, SC
National Provider Identifier
1134071798
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
Legal business name
FLOURISH PHYSICAL THERAPY LLC
Practice address
1277 Carolina Orchards Blvd
Fort Mill, SC 29715-8601
Phone
(773) 991-3388
NPI assigned
Feb 13, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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

Authorized official

Name
Laura SundquistNPI 1427305978
Title
PT
Phone
(773) 991-3388

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
Geriatric Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251G0304X Primary

Addresses

Primary practice location

1277 Carolina Orchards Blvd
Fort Mill, SC 29715-8601

Mailing address

6065 Daphne Cir
Fort Mill, SC 29708-6577

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260414002341 SC Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8921574369 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Mill, SC

National Provider Directory

National Provider Directory

Locations

1277 Carolina Orchards Blvd
Fort Mill, SC 29715
Phone (773) 991-3388

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": "1770940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770940800000",
    "number": "1134071798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6065 DAPHNE CIR",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297086577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1277 CAROLINA ORCHARDS BLVD",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297158601",
            "telephone_number": "773-991-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOURISH PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-13",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A",
        "authorized_official_last_name": "SUNDQUIST",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "PT",
        "authorized_official_telephone_number": "773-991-3388"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Geriatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Mill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; 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.