Off the Block Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

OFF THE BLOCK PHYSICAL THERAPY

Practice address

125 Arbors CT
Central, SC 29630-3700

Phone

(864) 561-5493

NPI assigned

Apr 12, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Antonia E Jacks, PT, DPTNPI 1285250084

Title

Owner/ Physical Therapist

Phone

(864) 561-5493

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Antonia Elizabeth Jacks, PT, DPT

  • Physical Therapist
  • Greenville, SC
  • NPI 1285250084
  NPD Authorized official

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618185600000",
    "number": "1417537697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 ARBORS CT",
            "city": "CENTRAL",
            "state": "SC",
            "postal_code": "296303700",
            "telephone_number": "864-561-5493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 ARBORS CT",
            "city": "CENTRAL",
            "state": "SC",
            "postal_code": "296303700",
            "telephone_number": "864-561-5493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OFF THE BLOCK PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-12",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A",
        "authorized_official_last_name": "JACKS",
        "authorized_official_first_name": "ANTONIA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/ PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "864-561-5493",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle McFarquhar, LPC-A
• Mobile Collective
• Marla Mosbah, M.S., CCC-SLP/L
• Laura Julene Nash, LPC
• Samuel O'Cain
• Sondra Rose Parsons, RN, BSN
• Megan Ranalli, PA-C
• Serenity Seiler, B.S., ATC
• Laura J Smith, OT
• Souls Tango LLC

• Physical Therapy Clinic/Center in Central, SC
• Providers in Central, 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 Apr 12, 2021; 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.