Paul John Hamberis, MSR PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4313 Issued in SC

Practice address

420 The Pkwy
Suite D
Greer, SC 29650-5204

Phone

(864) 879-7757

Fax

(864) 879-4626

NPI assigned

Nov 3, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Medical University of South Carolina College of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Palmetto Physical Therapy PCGroup PAC ID 5698768653, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Palmetto Physical Therapy PC

  • Physical Therapist
  • Greer, SC
  • NPI 1366647422
  Medicare reassignment Care Compare group NPD
• Palmetto Physical Therapy

  • Physical Therapist
  • Hialeah, FL
  • NPI 1548249253
  NPD (past)

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195516800000",
    "number": "1285625657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 THE PKWY",
            "address_2": "SUITE D",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296505204",
            "telephone_number": "864-879-7757",
            "fax_number": "864-879-4626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 THE PKWY",
            "address_2": "SUITE D",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296505204",
            "telephone_number": "864-879-7757",
            "fax_number": "864-879-4626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMBERIS",
        "first_name": "PAUL",
        "middle_name": "JOHN",
        "credential": "MSR PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2007-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "4313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PT EXAMINERS",
            "identifier": "4313",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leshunda M Hagood
• Natalie Hagood
• Jennifer Hall, AGNP
• Halo Clinical Services LLC
• Halo Pain ASC LLC
• Hammond Urology, PA
• Rebecca Hamod
• Robyn Hamrick, LISW-CP/S
• Lukas William Hannon, PHARMD
• Jeanne E. Harber, COTA

• Physical Therapist in Greer, SC
• Providers in Greer, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.