NPIMap

Organization Active NPI

Mobility Works Therapy Services, LLC

  • Physical Therapist
  • Mullins, SC
National Provider Identifier
1598034597
Registry record updated Dec 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4366 Issued in SC
Legal business name
MOBILITY WORKS THERAPY SERVICES, LLC
Practice address
1258 Fork Retch CT
Mullins, SC 29574-5959
Phone
(631) 512-3125
Fax
(843) 353-0167
NPI assigned
Dec 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2011

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

Authorized official

Name
Brad Fisher
Title
Member
Phone
(631) 512-3125

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 6280 SC
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 4366 SC Primary
Physical Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 225200000X 1780 SC

Addresses

Primary practice location

1258 Fork Retch CT
Mullins, SC 29574-5959

Mailing address

1258 Fork Retch CT
Mullins, SC 29574-5959
Phone (631) 512-3125

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1324339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324339200000",
    "number": "1598034597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1258 FORK RETCH CT",
            "city": "MULLINS",
            "state": "SC",
            "postal_code": "295745959",
            "telephone_number": "631-512-3125",
            "fax_number": "843-353-0167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1258 FORK RETCH CT",
            "city": "MULLINS",
            "state": "SC",
            "postal_code": "295745959",
            "telephone_number": "631-512-3125",
            "fax_number": "843-353-0167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILITY WORKS THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-20",
        "last_updated": "2011-12-20",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "631-512-3125"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "6280",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "4366",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "SC",
            "license": "1780",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mullins, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; 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.