Individual provider Active NPI

Phison Dai Vy

  • Physical Therapist
  • Clemson, SC
National Provider Identifier
1154917813
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP032698T Issued in NC
Practice address
500 Old Greenville Hwy Ste 500-1
Clemson, SC 29631-1787
Phone
(864) 722-6037
Fax
(864) 722-6038
NPI assigned
Dec 17, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapist 225100000X CP032698T NC Primary
Physical Therapist 225100000X 10468 SC

Addresses

Primary practice location

500 Old Greenville Hwy Ste 500-1
Clemson, SC 29631-1787

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other practice location 1

184 University Pkwy
Aiken, SC 29801-6308
Phone (803) 649-9975

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.01 of 100Reported as group
Quality
90
Improvement activities
40
Cost
75.04

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy of North Carolina LLC Physical Therapist CurrentSince Jul 12, 2024 Accepting new patients
Greenville Proaxis Therapy LLC CurrentSince Dec 7, 2020 Accepting new patients
Physical Therapy and Hand Specialist, LLC CurrentSince Jul 12, 2024 Accepting new patients
Greenville Proaxis Therapy, LLC Physical Therapist CurrentSince Dec 7, 2020 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Jul 12, 2024 Accepting new patients
Select Physical Therapy of West Denver Limited Partnership CurrentSince Dec 1, 2022 Accepting new patients
Select Physical Therapy of West Denver Limited Partnership CurrentSince Dec 1, 2022 Accepting new patients
Fox Rehabilitation Services of South Carolina, LLC Physical Therapist CurrentSince Nov 1, 2023 Accepting new patients
Physical Therapy and Hand Specialists, LLC Physical Therapist CurrentSince Jul 12, 2024 Accepting new patients
Select Physical Therapy of West Denver Limited Partnership Current Accepting new patients
Benchmark Physical Therapy of NC, LLC Physical Therapist CurrentSince Jul 12, 2024 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Jul 12, 2024 Accepting new patients
Benchmark Physical Therapy of North Carolina LLC Physical Therapist CurrentSince Jul 12, 2024 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

400 Indiana St
Ste 340
Golden, CO 80401
Phone (720) 452-1267

8601 Turnpike Dr
Ste 204
Westminster, CO 80031
Phone (570) 417-7622

790 Remington Blvd
Bolingbrook, IL 60440

33205 Collection Ctr Dr
Chicago, IL 60693

207 E Meadow Rd
Ste 3
Eden, NC 27288
Phone (336) 627-3771

10020 Monroe Rd
Ste 160
Matthews, NC 28105
Phone (704) 841-0894

7114 Brighton Park Dr
Ste 310
Mint Hill, NC 28227
Phone (704) 644-0807

1901 NW Cary Pkwy
Ste 110
Morrisville, NC 27560
Phone (919) 678-1525

1520 Sunday Dr
Ste 105
Raleigh, NC 27607
Phone (919) 420-1682

184 University Pkwy
Aiken, SC 29801
Phone (803) 649-9975

103 N Main St
Ste 201
Greenville, SC 29601
Phone (864) 528-5753

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1608163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1154917813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 OLD GREENVILLE HWY STE 500-1",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296311787",
            "telephone_number": "864-722-6037",
            "fax_number": "864-722-6038"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "184 University Pkwy",
            "address_purpose": "LOCATION",
            "city": "Aiken",
            "state": "SC",
            "postal_code": "298016308",
            "country_code": "US",
            "telephone_number": "803-649-9975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VY",
        "first_name": "PHISON",
        "middle_name": "DAI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-17",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "CP032698T",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "10468",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clemson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.