Resilient Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

RESILIENT PHYSICAL THERAPY LLC

Practice address

4574 Sunset Blvd Ste C
Lexington, SC 29072-9250

Phone

(803) 996-4761

Fax

(803) 996-5892

NPI assigned

Jan 16, 2024

Organization subpart

No

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

Authorized official

Name

Timothy Sutton, PTNPI 1346275401

Title

Co Owner

Phone

(803) 542-0049

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 2

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

• Timothy Sutton, PT

  • Physical Therapist
  • Lexington, SC
  • NPI 1346275401
  Medicare reassignment Care Compare group NPD Authorized official
• Cayley Gunter Hollifield, PT, DPT

  • Physical Therapist
  • Cayce, SC
  • NPI 1992433981
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1705363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705363200000",
    "number": "1184495376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4574 SUNSET BLVD STE C",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290729250",
            "telephone_number": "803-996-4761",
            "fax_number": "803-996-5892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4574 SUNSET BLVD STE C",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290729250",
            "telephone_number": "803-996-4761",
            "fax_number": "803-996-5892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENT PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A",
        "authorized_official_last_name": "SUTTON",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "803-542-0049",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Oliver Reeside III, DPT
• Olivia Reichenbach
• Jona Mae Reinante, RN
• Michelle Ruth Reinsmith, MA, NCC, LPCA
• Elizabeth A Renwick, MD
• Melanie Ivelisse Reyes Margolla, DC
• Jemirel Reyes
• Andey Nicole Reynolds
• Daniel Gregory Reynolds, PT
• Dwight Raymond Reynolds, MD

• Physical Therapist in Lexington, SC
• Providers in Lexington, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; 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.