Active NPI
Andrew Royalty, PT
- Physical Therapist
- Simpsonville, SC
National Provider Identifier
1558774331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7401
- Practice address
- 727 SE Main St
Ste 200
Simpsonville, SC 29681-3247 - Phone
- (864) 454-6670
- NPI assigned
- Jun 9, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 7401 | SC | Primary |
Addresses
Primary practice location
727 SE Main St
Ste 200
Simpsonville, SC 29681-3247
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
600 Founders Bridge Blvd
Midlothian, VA 23113-6309
Phone (804) 395-7335
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7401 | SC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Royal Treatment LLC | Physical Therapist | Current | Accepting new patients |
| Prisma Health University Medical Group | Past | Accepting new patients |
Locations
4870 Sadler Rd
Ste 300
Glen Allen, VA 23060
Phone (757) 524-2304
600 Founders Bridge Blvd
Midlothian, VA 23113
Phone (804) 210-5448
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Midlothian, VA
- NPI 1871194332
-
- Physical Therapist
- Fairfax, VA
- NPI 1235720848
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295763217
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447113600000",
"number": "1558774331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909",
"telephone_number": "630-296-2223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "727 SE MAIN ST",
"address_2": "STE 200",
"city": "SIMPSONVILLE",
"state": "SC",
"postal_code": "296813247",
"telephone_number": "864-454-6670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROYALTY",
"first_name": "ANDREW",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-09",
"last_updated": "2015-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "7401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Simpsonville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.