Individual provider Active NPI

Rylie Jo Pfledderer, PT, DPT

  • Physical Therapist
  • Greenville, SC
National Provider Identifier
1306328984
Registry record updated May 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9399 Issued in SC
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, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
11950TNMDPharmacist
11950VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Institute of Physical Therapy Inc Physical Therapist CurrentSince Feb 3, 2025 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.

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.

Verify at the official NPI Registry.