Individual provider Active NPI

Stephanie Resendiz, DPT

  • Orthopedic Physical Therapist
  • Anderson, SC
National Provider Identifier
1417448531
Registry record updated May 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Practice address
2005 E Greenville St Ste 119
Anderson, SC 29621-1575
Phone
(864) 964-0505
Fax
(864) 222-0182
NPI assigned
May 24, 2018
Last updated
May 24, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X Primary

Addresses

Primary practice location

2005 E Greenville St Ste 119
Anderson, SC 29621-1575

Mailing address

17 Hillcrest Dr
Downingtown, PA 19335-1965
Phone (610) 883-3637

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180905001845 SC Practitioner - Physical Therapist in Private Practice 8527318989 Reassigns benefits to 1 organization
I20190613000153 PA Practitioner - Physical Therapist in Private Practice 8527318989 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Therapy Solutions, LLCGroup PAC ID 8921383688, 37 clinicians

Practice addresses (Care Compare)

245 E Chestnut St
Coatesville, PA 19320-3232
Phone (610) 466-7060

605 Airport Rd
West Chester, PA 19380-5932
Phone (610) 696-3305

790 E Market St
Suite 290
West Chester, PA 19382-4891
Phone (610) 696-3305

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9209SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Integrated Therapy Centers, LLC Orthopedic CurrentSince Jul 9, 2018 Accepting new patients
Elite Therapy Solutions, LLC Orthopedic CurrentSince Jul 1, 2021 Accepting new patients
Elite Therapy Solutions, LLC Orthopedic CurrentSince Jul 1, 2021 Accepting new patients

Locations

245 E Chestnut St
Coatesville, PA 19320
Phone (610) 383-0825

983A E Lancaster Ave
Downingtown, PA 19335
Phone (610) 594-2060

438 Lincoln Way E
New Oxford, PA 17350
Phone (717) 479-5216

790 E Market St
Ste 290
West Chester, PA 19382
Phone (610) 696-3305

2005 E Greenville St
Ste 119
Anderson, SC 29621
Phone (864) 512-7023

1007 Grove Rd
#A
Greenville, SC 29605

1007 Grove Rd
#C
Greenville, SC 29605

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1527120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527120000000",
    "number": "1417448531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 HILLCREST DR",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193351965",
            "telephone_number": "610-883-3637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 E GREENVILLE ST STE 119",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296211575",
            "telephone_number": "864-964-0505",
            "fax_number": "864-222-0182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESENDIZ",
        "first_name": "STEPHANIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-24",
        "last_updated": "2018-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; 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.