Active NPI
Sports Therapy of Greenville, LLC
- Physical Therapist
- Greenville, SC
National Provider Identifier
1225156334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- SPORTS THERAPY OF GREENVILLE, LLC
- Practice address
- 1334 Miller Rd
Greenville, SC 29607-5710 - Phone
- (864) 288-3878
- Fax
- (864) 288-3844
- NPI assigned
- Mar 27, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Justin Lawson
- Title
- Director of Finance
- Phone
- (615) 342-0214
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
1334 Miller Rd
Greenville, SC 29607-5710
Mailing address
PO Box 331225
Nashville, TN 37203-7512
Phone (615) 342-0223
Other names 1
- D1 Sports Therapy of Greenville
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1225156334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 331225",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372037512",
"telephone_number": "615-342-0223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1334 MILLER RD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296075710",
"telephone_number": "864-288-3878",
"fax_number": "864-288-3844"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPORTS THERAPY OF GREENVILLE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-27",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LAWSON",
"authorized_official_first_name": "JUSTIN",
"authorized_official_title_or_position": "DIRECTOR OF FINANCE",
"authorized_official_telephone_number": "615-342-0214",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "D1 Sports Therapy of Greenville",
"code": "5",
"type": "Other Name"
}
]
}
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.