Dedicated Therapy Associates, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

3964 Issued in SC

Legal business name

DEDICATED THERAPY ASSOCIATES, LLC

Practice address

1014 Wade Hampton Blvd Ste 6
Greenville, SC 29609-5061

Phone

(864) 203-3883

Fax

(864) 568-3864

NPI assigned

Jan 18, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Shannon Cobb, M.S. P.T

Title

Owner/Physical Therapist

Phone

(864) 203-3883

Specialties & licenses 1

Addresses

Other names 1

• Dedicated Therapy Doing business as

Locations

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

{
    "created_epoch": "1484697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643155200000",
    "number": "1407392228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 WADE HAMPTON BLVD STE 6",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296095061",
            "telephone_number": "864-203-3883",
            "fax_number": "864-568-3864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 WADE HAMPTON BLVD STE 6",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296095061",
            "telephone_number": "864-203-3883",
            "fax_number": "864-568-3864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEDICATED THERAPY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-18",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A",
        "authorized_official_last_name": "COBB",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "864-203-3883",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S. P.T"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "SC",
            "license": "3964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dedicated Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dedicated Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christy M Decker, RN
• Georgenna R. Decker, LISW-CP
• Jeremy Craig Decker, COTA/L
• Arwen Beatrice Long Declan, MD, PHD
• Paul Declerck, MD
• Jessie Deer, RN
• Kelsey Llamar Deer Jr.
• Jamey Billy Deering Jr., CRNA
• Markella Delios Deering, CRNA
• William Taylor Deeter III, MD

• Physical Therapy Clinic/Center in Greenville, SC
• Providers in Greenville, SC by specialty
• Physical Therapy Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; 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.