Organization Active NPI

Ethos Physical Therapy LLC

  • Physical Therapist
  • Anderson, SC
National Provider Identifier
1366328411
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ETHOS PHYSICAL THERAPY LLC
Practice address
1114 Cornelia Rd
Anderson, SC 29621-3317
Phone
(864) 314-0803
NPI assigned
Aug 13, 2025
Last updated
Sep 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Mr. Greg Winburn, PT
Title
Owner/Physical Therapist
Phone
(864) 314-0803

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

1114 Cornelia Rd
Anderson, SC 29621-3317

Mailing address

1114 Cornelia Rd
Anderson, SC 29621-3317
Phone (864) 314-0803

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251105001237 SC Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7214427640 Receives reassigned benefits from 2 practitioners
Practice locations: Anderson, SC

National Provider Directory

National Provider Directory

Locations

1114 Cornelia Rd
Anderson, SC 29621
Phone (864) 225-1656

Practitioners & affiliated clinicians

Practitioners 2

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": "1755043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1366328411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 CORNELIA RD",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296213317",
            "telephone_number": "864-314-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 CORNELIA RD",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296213317",
            "telephone_number": "864-314-0803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETHOS PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-13",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A",
        "authorized_official_last_name": "WINBURN",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "864-314-0803",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.