Personal Therapy Inc

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

1607 Issued in SC

Legal business name

PERSONAL THERAPY INC

Practice address

823 S Old Fairview Rd
Fountain Inn, SC 29644-9726

Phone

(864) 871-1478

Fax

(864) 243-2428

NPI assigned

Feb 19, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Rebecca C Brown, PT

Title

Owner

Phone

(864) 871-1478

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1140307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369872000000",
    "number": "1407821911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 S OLD FAIRVIEW RD",
            "city": "FOUNTAIN INN",
            "state": "SC",
            "postal_code": "296449726",
            "telephone_number": "864-871-1478",
            "fax_number": "864-243-2428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 S OLD FAIRVIEW RD",
            "city": "FOUNTAIN INN",
            "state": "SC",
            "postal_code": "296449726",
            "telephone_number": "864-871-1478",
            "fax_number": "864-243-2428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-19",
        "last_updated": "2013-05-30",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-871-1478",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "SC",
            "license": "1607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3917",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashish B Patel, RPH
• Riya Patel, OTR/L
• Pathways Pediatric Therapy, LLC
• Warren Patrick Perez Perez
• Kimberly Deane Perry, LISW-CP
• Stacy Peters, OTR/L
• Trela Rene Peters
• Christina M. Poole
• Taylor Price, COTA/L
• Prisma Health-Upstate (Prisma Health Primary Care Fountain Inn)

• Pediatric Physical Therapist in Fountain Inn, SC
• Providers in Fountain Inn, SC by specialty
• Pediatric Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2013; 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.