NPIMap

Organization Active NPI

South Aiken Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Aiken, SC
National Provider Identifier
1285859819
Registry record updated Dec 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
SOUTH AIKEN PHYSICAL THERAPY LLC
Practice address
681 Silver Bluff Rd Ste a
Aiken, SC 29803-4707
Phone
(803) 649-9797
Fax
(803) 642-2759
NPI assigned
Apr 17, 2007
Last updated
Dec 18, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2007

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

Authorized official

Name
Mr. Sean Vincent Daly, PTNPI 1457431405
Title
Owner
Phone
(803) 649-9797

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

681 Silver Bluff Rd Ste a
Aiken, SC 29803-4707

Mailing address

681 Silver Bluff Rd Ste a
Aiken, SC 29803-4707
Phone (803) 649-9797

Other identifiers 3

IdentifierTypeStateIssuer
1405058OtherTNBCBS
DF9050OtherRAILROAD MEDICARE
GP4564MedicaidSC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1285859819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "681 SILVER BLUFF RD STE A",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298034707",
            "telephone_number": "803-649-9797",
            "fax_number": "803-642-2759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "681 SILVER BLUFF RD STE A",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298034707",
            "telephone_number": "803-649-9797",
            "fax_number": "803-642-2759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH AIKEN PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "DALY",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-649-9797",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1405058",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DF9050",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4564",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.