NPIMap

Organization Active NPI

Physical Therapy, Inc.

  • Physical Therapist
  • Gaffney, SC
National Provider Identifier
1265416457
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
001635 Issued in SC
Legal business name
PHYSICAL THERAPY, INC.
Practice address
1445 N Limestone St
Gaffney, SC 29340-4735
Phone
(864) 487-7874
Fax
(864) 487-7659
NPI assigned
Dec 1, 2005
Last updated
Oct 9, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

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

Authorized official

Name
Mr. Joseph Mark McKowen, PTNPI 1053380691
Title
Owner/Physical Therapist
Phone
(864) 487-7874

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 001635 SC Primary

Addresses

Primary practice location

1445 N Limestone St
Gaffney, SC 29340-4735

Mailing address

1445 N Limestone St
Gaffney, SC 29340-4735
Phone (864) 487-7874

Other identifiers 1

IdentifierTypeStateIssuer
GP3320MedicaidSC

Other names 1

  • Physical Therapy and Hand Center of Gaffney Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040920000743 SC Part B Supplier - Clinic/Group Practice 7416925292 Receives reassigned benefits from 1 practitioner
Practice locations: Gaffney, SC

National Provider Directory

National Provider Directory

Locations

1445 N Limestone St
Gaffney, SC 29340
Phone (864) 487-1124

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1265416457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 N LIMESTONE ST",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293404735",
            "telephone_number": "864-487-7874",
            "fax_number": "864-487-7659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 N LIMESTONE ST",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293404735",
            "telephone_number": "864-487-7874",
            "fax_number": "864-487-7659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-01",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "MCKOWEN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "864-487-7874",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "001635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3320",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physical Therapy and Hand Center of Gaffney",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Gaffney, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.