Individual provider Active NPI

Susan Lowery Fair, PT

  • Physical Therapist
  • Greenville, SC
National Provider Identifier
1235272576
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
598 Issued in SC
Practice address
3300 Poinsett Hwy
Furman University Sports Medicine Center
Greenville, SC 29613-0002
Phone
(864) 294-2130
Fax
(864) 294-3590
NPI assigned
Feb 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 598 SC Primary

Addresses

Primary practice location

3300 Poinsett Hwy
Furman University Sports Medicine Center
Greenville, SC 29613-0002

Mailing address

1 Mallard CT
Greenville, SC 29617-6139
Phone (864) 294-1718

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235272576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MALLARD CT",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296176139",
            "telephone_number": "864-294-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 POINSETT HWY",
            "address_2": "FURMAN UNIVERSITY SPORTS MEDICINE CENTER",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296130002",
            "telephone_number": "864-294-2130",
            "fax_number": "864-294-3590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIR",
        "first_name": "SUSAN",
        "middle_name": "LOWERY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "598",
            "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 Jul 8, 2007; 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.