Luther Agdaca
Individual provider Active NPI Physical Therapist · Simpsonville, SC
NPI 1255879862 · NPPES record last updated Feb 2, 2017
Key facts
- NPI
- 1255879862
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 6 Felhurst CT
Simpsonville, SC 29681-6546 - Phone
- (864) 412-8901
- NPI assigned
- Feb 2, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Therapy Services | Physical Therapist | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Yes |
Addresses
Primary practice location
6 Felhurst CT
Simpsonville, SC 29681-6546
Mailing address
6 Felhurst CT
Simpsonville, SC 29681-6546
Phone (864) 412-8901
Other providers in Simpsonville, SC
- Advanced Prosthetics, Inc
- Advanced Wellness Solutions of the Upstate
- Aeris Phlebotomy Services LLC
- Affordable Freedom Mobility, LLC
- After Hours Chiropractic LLC
- Aging With Flair LLC
- Sarwat S Alam
- Irina Bratnichenko Alexander
- Sele Aligbe
- Gary W. Allen III
All providers in Simpsonville, SC · Physical Therapist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.