Individual provider Active NPI

Marlena S Reif, PT, DPT

  • Physical Therapist
  • Seneca, SC
National Provider Identifier
1376822312
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6510 Issued in SC
Practice address
114 Keowee School Rd Unit C
Seneca, SC 29672-6779
Phone
(864) 539-2204
Fax
(855) 344-5560
NPI assigned
Aug 9, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6510 SC Primary

Addresses

Primary practice location

114 Keowee School Rd Unit C
Seneca, SC 29672-6779

Mailing address

114 Keowee School Rd Unit C
Seneca, SC 29672-6779
Phone (864) 539-2204

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211214002625 SC Practitioner - Physical Therapist in Private Practice 7517357197 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

114 Keowee School Rd
Unit C
Seneca, SC 29672-6779
Phone (864) 539-2204

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6510SCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Mobile PT & Wellness LLC Physical Therapist CurrentSince Nov 7, 2021 Accepting new patients

Locations

114 Keowee School Rd
Unit C
Seneca, SC 29672
Phone (864) 539-2204

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1312848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1376822312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 KEOWEE SCHOOL RD UNIT C",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296726779",
            "telephone_number": "864-539-2204",
            "fax_number": "855-344-5560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 KEOWEE SCHOOL RD UNIT C",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296726779",
            "telephone_number": "864-539-2204",
            "fax_number": "855-344-5560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIF",
        "first_name": "MARLENA",
        "middle_name": "S",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-09",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "6510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seneca, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.