Palmetto Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PALMETTO PHYSICAL THERAPY PC

Practice address

420 The Parkway
Suite D
Greer, SC 29650

Phone

(864) 879-7757

Fax

(864) 879-4626

NPI assigned

Jun 19, 2007

Last updated

Nov 13, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Chris Allen Connor, PTNPI 1033100490

Title

Principal

Phone

(864) 879-7757

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 4

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.

• Chris Allen Connor, MSR PT

  • Physical Therapist
  • Greer, SC
  • NPI 1033100490
  Medicare reassignment Care Compare group NPD Authorized official
• Ethan Michael Dutka, DPT

  • Physical Therapist
  • Greer, SC
  • NPI 1770435299
  Medicare reassignment Care Compare group NPD
• Paul John Hamberis, MSR PT

  • Physical Therapist
  • Greer, SC
  • NPI 1285625657
  Medicare reassignment Care Compare group NPD
• Benjamin Paul Thomas, PT

  • Physical Therapist
  • Augusta, GA
  • NPI 1386838852
  NPD (past)

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1366647422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 THE PARKWAY",
            "address_2": "SUITE D",
            "city": "GREER",
            "state": "SC",
            "postal_code": "29650",
            "telephone_number": "864-879-7757",
            "fax_number": "864-879-4626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 THE PARKWAY",
            "address_2": "SUITE D",
            "city": "GREER",
            "state": "SC",
            "postal_code": "29650",
            "telephone_number": "864-879-7757",
            "fax_number": "864-879-4626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "CONNOR",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "864-879-7757",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Lynette Pahnke, RN, APRN
• Victoria Grace Pait, DC
• John Joseph Palmer, DMD
• Stephen Palmer
• Palmetto Hematology Oncology PC
• Palmetto Ultrasound Centers LLC
• Karla Dee Papenfuss, PT
• Christopher Andrew Pare, ATC
• Ann Marie Parker, LISW-CP
• Wesley Parker, MD

• Physical Therapist in Greer, SC
• Providers in Greer, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; 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.