Active NPI
Cassandra Gay Phillips, ATC
- Athletic Trainer
- Greenville, SC
National Provider Identifier
1245372630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 318
- Practice address
- Furman University 3300 Poinsett Hwy
Greenville, SC 29613-0001 - Phone
- (864) 294-2130
- NPI assigned
- Feb 13, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 318 | SC | Primary |
Addresses
Primary practice location
Furman University 3300 Poinsett Hwy
Greenville, SC 29613-0001
Mailing address
25 Maudie St
Greenville, SC 29605-2213
Phone (864) 294-3657
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 318 | SC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245372630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 MAUDIE ST",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296052213",
"telephone_number": "864-294-3657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "FURMAN UNIVERSITY 3300 POINSETT HWY",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296130001",
"telephone_number": "864-294-2130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "CASSANDRA",
"middle_name": "GAY",
"name_prefix": "Miss",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "SC",
"license": "318",
"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.