Active NPI
Dortlies Helene Releford, PTA
- Rehabilitation Practitioner
- Greenwood, SC
National Provider Identifier
1518185479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- License
- 2110
- Practice address
- 1110 Marshall Rd
Greenwood, SC 29646-4216 - Phone
- (864) 227-7250
- Fax
- (864) 227-7272
- NPI assigned
- Apr 23, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | 2110 | SC | Primary |
Addresses
Primary practice location
1110 Marshall Rd
Greenwood, SC 29646-4216
Mailing address
139 Cooks Bridge Rd
Fountain Inn, SC 29644-5801
Phone (864) 409-1302
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2110 | SC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1518185479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "139 COOKS BRIDGE RD",
"city": "FOUNTAIN INN",
"state": "SC",
"postal_code": "296445801",
"telephone_number": "864-409-1302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 MARSHALL RD",
"city": "GREENWOOD",
"state": "SC",
"postal_code": "296464216",
"telephone_number": "864-227-7250",
"fax_number": "864-227-7272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RELEFORD",
"first_name": "DORTLIES",
"middle_name": "HELENE",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "SC",
"license": "2110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenwood, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.