NPIMap

Organization Active NPI

Upper Extremity Rehab Specialists, PA

Doing business as Physical Therapy &Upper Extremity Specialists

  • Occupational Therapist
  • Greenville, SC
National Provider Identifier
1467405860
Registry record updated Feb 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
736 Issued in SC
Legal business name
UPPER EXTREMITY REHAB SPECIALISTS, PA
Doing business as
Physical Therapy &Upper Extremity Specialists
Practice address
201 Roper Creek Dr
Greenville, SC 29615-6927
Phone
(864) 286-9966
Fax
(864) 286-9933
NPI assigned
May 18, 2006
Last updated
Feb 10, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2011

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

Authorized official

Name
Mrs. Kathleen C. Anderson, OTR/CHTNPI 1346270824
Title
Certified Hand Therapist
Phone
(864) 286-9966

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 736 SC Primary

Addresses

Primary practice location

201 Roper Creek Dr
Greenville, SC 29615-6927

Mailing address

201 Roper Creek Dr
Greenville, SC 29615-6927
Phone (864) 286-9966

Other identifiers 1

IdentifierTypeStateIssuer
7649611OtherSCAETNA IDENTIFIER

Other names 1

  • Physical Therapy &Upper Extremity Specialists Doing business as

National Provider Directory

National Provider Directory

Locations

1 Creekview Ct
Ste A
Greenville, SC 29615
Phone (864) 252-4889

201 Roper Creek Dr
Greenville, SC 29615
Phone (864) 286-9966

2434 Hudson Rd
Greer, SC 29650

2434 Hudson Rd
#115
Greer, SC 29650

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297296000000",
    "number": "1467405860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 ROPER CREEK DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296156927",
            "telephone_number": "864-286-9966",
            "fax_number": "864-286-9933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 ROPER CREEK DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296156927",
            "telephone_number": "864-286-9966",
            "fax_number": "864-286-9933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER EXTREMITY REHAB SPECIALISTS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2011-02-10",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "CERTIFIED HAND THERAPIST",
        "authorized_official_telephone_number": "864-286-9966",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/CHT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA IDENTIFIER",
            "identifier": "7649611",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physical Therapy &Upper Extremity Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2011; 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.