Organization Active NPI

North Grove Physical Therapy, LLC

  • Physical Therapist
  • Spartanburg, SC
National Provider Identifier
1508972712
Registry record updated Jun 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
569 Issued in SC
Legal business name
NORTH GROVE PHYSICAL THERAPY, LLC
Practice address
1330 Boiling Springs Rd
Suite 1600B
Spartanburg, SC 29303-4201
Phone
(864) 582-0019
Fax
(864) 582-2160
NPI assigned
Aug 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2008

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

Authorized official

Name
Ms. Elizabeth Ann Froneberger, PT
Title
Manager
Phone
(864) 585-8474

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 569 SC Primary

Addresses

Primary practice location

1330 Boiling Springs Rd
Suite 1600B
Spartanburg, SC 29303-4201

Mailing address

1330 Boiling Springs Rd
Suite 1600B
Spartanburg, SC 29303-4201
Phone (864) 582-0019

Other identifiers 2

IdentifierTypeStateIssuer
8636OtherSCSC MEDICARE PROVIDER #
DF4478OtherSCSC RAILROAD PROVIDER #

National Provider Directory

National Provider Directory

Locations

115 Deacon Tiller Ct
Duncan, SC 29334
Phone (864) 582-6396

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212710400000",
    "number": "1508972712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 BOILING SPRINGS RD",
            "address_2": "SUITE 1600B",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293034201",
            "telephone_number": "864-582-0019",
            "fax_number": "864-582-2160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 BOILING SPRINGS RD",
            "address_2": "SUITE 1600B",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293034201",
            "telephone_number": "864-582-0019",
            "fax_number": "864-582-2160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH GROVE PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2008-06-06",
        "status": "A",
        "authorized_official_last_name": "FRONEBERGER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "864-585-8474",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC MEDICARE PROVIDER #",
            "identifier": "8636",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC RAILROAD PROVIDER #",
            "identifier": "DF4478",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; 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.