Elisa May, PTA

Individual provider Active NPI Physical Therapy Assistant · Landrum, SC

NPI 1386962801 · NPPES record last updated May 7, 2010

Key facts

NPI
1386962801
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
2421 (SC)
Practice address
220 Highway 101
Landrum, SC 29356-9546
Phone
(864) 528-5547
Fax
(864) 528-5541
NPI assigned
May 7, 2010
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2421SCMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2421 SC Yes

Addresses

Primary practice location

220 Highway 101
Landrum, SC 29356-9546

Mailing address

30 Springcrest CT
Greenville, SC 29607-4034
Phone (864) 528-5547

Other providers in Landrum, SC

All providers in Landrum, SC · Physical Therapy Assistant in South Carolina

Sources for this page

Verify at the official NPI Registry.