Active NPI
Heritage Healthcare Inc
- Physical Therapist
- Greenville, SC
National Provider Identifier
1225176258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- HERITAGE HEALTHCARE INC
- Practice address
- 536 Old Howell Road
Greenville, SC 29615-1969 - Phone
- (864) 244-3626
- Fax
- (864) 244-3093
- NPI assigned
- Feb 2, 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. Paul Thomas Shaw
- Title
- President
- Phone
- (864) 244-3626
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary | ||
| Occupational Therapist | 225X00000X | |||
| Speech-Language Pathologist | 235Z00000X |
Addresses
Primary practice location
536 Old Howell Road
Greenville, SC 29615-1969
Mailing address
536 Old Howell Road
Greenville, SC 29615-1969
Phone (864) 244-3626
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP2532 | Medicaid | SC |
National Provider Directory
National Provider Directory- Tax ID family
- Healthpro Heritage LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Therapist
- Greenville, SC
- NPI 1265965628
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1225176258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "536 OLD HOWELL ROAD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296151969",
"telephone_number": "864-244-3626",
"fax_number": "864-244-3093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "536 OLD HOWELL ROAD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296151969",
"telephone_number": "864-244-3626",
"fax_number": "864-244-3093"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HERITAGE HEALTHCARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-02",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "SHAW",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "THOMAS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "864-244-3626",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP2532",
"state": "SC"
}
],
"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 Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.