NPIMap

Organization Active NPI

Individualized Physical Therapy, Inc.

  • Physical Therapist
  • Greenville, SC
National Provider Identifier
1184673071
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2540 Issued in SC
Legal business name
INDIVIDUALIZED PHYSICAL THERAPY, INC.
Practice address
25 Woods Lake Rd
Suite 709
Greenville, SC 29607-6125
Phone
(864) 232-6982
Fax
(864) 232-6983
NPI assigned
May 8, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Miss Joy Robin Lee, MHS, RPT
Title
Ceo
Phone
(864) 232-6982

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2540 SC Primary

Addresses

Primary practice location

25 Woods Lake Rd
Suite 709
Greenville, SC 29607-6125

Mailing address

25 Woods Lake Rd
Suite 709
Greenville, SC 29607-6125
Phone (864) 232-6982

National Provider Directory

National Provider Directory

Locations

4152 Clemson Blvd
Ste D
Anderson, SC 29621
Phone (864) 376-8200

25 Woods Lake Rd
Ste 709
Greenville, SC 29607
Phone (864) 232-6982

Practitioners & affiliated clinicians

Practitioners 5

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": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184673071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 WOODS LAKE RD",
            "address_2": "SUITE 709",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296076125",
            "telephone_number": "864-232-6982",
            "fax_number": "864-232-6983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 WOODS LAKE RD",
            "address_2": "SUITE 709",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296076125",
            "telephone_number": "864-232-6982",
            "fax_number": "864-232-6983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIVIDUALIZED PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JOY",
        "authorized_official_middle_name": "ROBIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "864-232-6982",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MHS, RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "2540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.