Active NPI
Greene Physical Therapy LLC
- Physical Therapy Clinic/Center
- Charleston, SC
National Provider Identifier
1477197945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- GREENE PHYSICAL THERAPY LLC
- Practice address
- 824 Farnham Rd
Charleston, SC 29412-4806 - Phone
- (845) 642-2844
- NPI assigned
- Oct 29, 2019
- Last updated
- Oct 29, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Steven Greene, PT, DPT
- Title
- President
- Phone
- (845) 642-2844
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | NU | Primary |
Addresses
Primary practice location
824 Farnham Rd
Charleston, SC 29412-4806
Mailing address
PO Box 13221
Charleston, SC 29422-3221
Phone (845) 642-2844
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | N/A |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Physical Therapist
- Johns Island, SC
- NPI 1073038295
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572307200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1572307200000",
"number": "1477197945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 13221",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294223221",
"telephone_number": "845-642-2844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "824 FARNHAM RD",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294124806",
"telephone_number": "845-642-2844"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREENE PHYSICAL THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-29",
"last_updated": "2019-10-29",
"status": "A",
"authorized_official_last_name": "GREENE",
"authorized_official_first_name": "STEVEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "845-642-2844",
"authorized_official_credential": "PT, DPT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "N/A",
"affiliation": "N",
"address_1": "824 Farnham Rd",
"city": "Charleston",
"state": "SC",
"country_code": "US",
"postal_code": "294124806",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.