NPIMap

Organization Active NPI

Excel Physical Therapy, LLC

  • Physical Therapist
  • Columbia, SC
National Provider Identifier
1255668323
Registry record updated Jan 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
EXCEL PHYSICAL THERAPY, LLC
Practice address
810 Mallet Hill Rd
Suite 2
Columbia, SC 29223-4406
Phone
(803) 661-8522
Fax
(803) 419-6692
NPI assigned
Nov 11, 2009
Last updated
Jan 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2014

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

Authorized official

Name
Mrs. Heather B Reeves, PTNPI 1255346672
Title
Owner
Phone
(803) 661-8522

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 Primary

Addresses

Primary practice location

810 Mallet Hill Rd
Suite 2
Columbia, SC 29223-4406

Mailing address

810 Mallet Hill Rd
Suite 2
Columbia, SC 29223-4406
Phone (803) 661-8522

Other names 1

  • Physical Rehabilitation Hospital Group, LLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100224000719 SC Part B Supplier - Clinic/Group Practice 5890839161 Receives reassigned benefits from 2 practitioners
Practice locations: Columbia, SC
O20130503000124 SC DME Supplier - Independently-Practicing Physical Therapist 5890839161 Practice locations: Columbia, SC

National Provider Directory

National Provider Directory

Locations

810 Mallet Hill Rd
Columbia, SC 29223
Phone (803) 419-6646

810 Mallet Hill Rd
Ste 2
Columbia, SC 29223
Phone (803) 661-8522

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1257897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388707200000",
    "number": "1255668323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 MALLET HILL RD",
            "address_2": "SUITE 2",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292234406",
            "telephone_number": "803-661-8522",
            "fax_number": "803-419-6692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 MALLET HILL RD",
            "address_2": "SUITE 2",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292234406",
            "telephone_number": "803-661-8522",
            "fax_number": "803-419-6692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-11",
        "last_updated": "2014-01-03",
        "status": "A",
        "authorized_official_last_name": "REEVES",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-661-8522",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physical Rehabilitation Hospital Group, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2014; 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.