Active NPI
Rylie Jo Pfledderer, PT, DPT
- Physical Therapist
- Greenville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9399
- Practice address
- 150 Tanner Rd Ste B
Greenville, SC 29607-5917 - Phone
- (864) 297-0220
- Fax
- (864) 297-2335
- NPI assigned
- Aug 30, 2018
- Last updated
- May 30, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11950 | VA | |
| Physical Therapist | 225100000X | 9399 | SC | Primary |
Addresses
Primary practice location
150 Tanner Rd Ste B
Greenville, SC 29607-5917
Mailing address
1200 Corporate Dr Ste 400
Birmingham, AL 35242-5424
Phone (423) 238-7217
Other practice location 1
2913 Boones Creek Rd Ste 1
Johnson City, TN 37615-4997
Phone (423) 232-0688
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11950 | TN | MD | Pharmacist |
| 11950 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Institute of Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
Locations
98-1005 Moanalua Rd
Spc 410
Aiea, HI 96701
Phone (808) 488-5555
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Movement Plus Physical Therapy
- Physical Therapist
- Waipahu, HI
- NPI 1730545344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559174400000",
"number": "1306328984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CORPORATE DR STE 400",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352425424",
"telephone_number": "423-238-7217",
"fax_number": "423-238-3473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 TANNER RD STE B",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296075917",
"telephone_number": "864-297-0220",
"fax_number": "864-297-2335"
}
],
"practiceLocations": [
{
"address_1": "2913 Boones Creek Rd Ste 1",
"address_purpose": "LOCATION",
"city": "Johnson City",
"state": "TN",
"postal_code": "376154997",
"country_code": "US",
"telephone_number": "423-232-0688",
"fax_number": "423-232-0687",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PFLEDDERER",
"first_name": "RYLIE",
"middle_name": "JO",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-30",
"last_updated": "2019-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "11950",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "9399",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.