Active NPI
North Grove Physical Therapy, LLC
- Physical Therapist
- Spartanburg, SC
National Provider Identifier
1508972712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 569
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8636 | Other | SC | SC MEDICARE PROVIDER # |
| DF4478 | Other | SC | SC RAILROAD PROVIDER # |
National Provider Directory
National Provider DirectoryLocations
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.