Organization Active NPI

Talley Physical Therapy, Inc.

  • Physical Therapist
  • Easley, SC
National Provider Identifier
1255459491
Registry record updated Sep 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
891 Issued in SC
Legal business name
TALLEY PHYSICAL THERAPY, INC.
Practice address
112 Greenvale Dr
Easley, SC 29640-7896
Phone
(864) 915-5272
Fax
(864) 859-3111
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2007

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

Authorized official

Name
Mrs. Cindy TalleyNPI 1215916028
Title
Owner
Phone
(864) 915-5272

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 891 SC Primary

Addresses

Primary practice location

112 Greenvale Dr
Easley, SC 29640-7896

Mailing address

112 Greenvale Dr
Easley, SC 29640-7896
Phone (864) 915-5272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120430000442 SC Part B Supplier - Clinic/Group Practice 6305008822 Receives reassigned benefits from 3 practitioners
Practice locations: Easley, SC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188864000000",
    "number": "1255459491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 GREENVALE DR",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296407896",
            "telephone_number": "864-915-5272",
            "fax_number": "864-859-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 GREENVALE DR",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296407896",
            "telephone_number": "864-915-5272",
            "fax_number": "864-859-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TALLEY PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-09-04",
        "status": "A",
        "authorized_official_last_name": "TALLEY",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-915-5272",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easley, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.