NPIMap

Organization Active NPI

Sports Plus

  • Physical Therapy Assistant
  • Aiken, SC
National Provider Identifier
1306900766
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA.1861 Issued in SC
Legal business name
SPORTS PLUS
Practice address
170 University Pkwy
Aiken, SC 29801-6308
Phone
(803) 649-9975
NPI assigned
Dec 20, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Michele Maynard
Title
Pta
Phone
(803) 649-9975

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 225200000X PTA.1861 SC Primary

Addresses

Primary practice location

170 University Pkwy
Aiken, SC 29801-6308

Mailing address

1009 Toolebeck Rd
Aiken, SC 29803-9679
Phone (803) 644-2020

National Provider Directory

National Provider Directory
Tax ID family
Island Physical Therapy35 organizations share this tax ID, including this one

Other organizations with this tax ID 34

Organizations that report the same tax identification number in the National Provider Directory.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306900766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 TOOLEBECK RD",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298039679",
            "telephone_number": "803-644-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 UNIVERSITY PKWY",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298016308",
            "telephone_number": "803-649-9975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS PLUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAYNARD",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "PTA",
        "authorized_official_telephone_number": "803-649-9975"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "SC",
            "license": "PTA.1861",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 2020; 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.