Individual provider Active NPI

Jacquelyn Robbins

  • Physical Therapist
  • Greer, SC
National Provider Identifier
1598336646
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
315 Medical Pkwy Ste 150
Greer, SC 29650-2456
Phone
(864) 797-9600
NPI assigned
Jul 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

315 Medical Pkwy Ste 150
Greer, SC 29650-2456

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210820000818 SC Practitioner - Physical Therapist in Private Practice 4587069133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greenville Proaxis Therapy LLCGroup PAC ID 0244267771, 221 clinicians

Practice addresses (Care Compare)

315 Medical Pkwy
Suite 150
Greer, SC 29650-2456
Phone (864) 797-9600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Greenville Proaxis Therapy, LLC Physical Therapist CurrentSince Aug 30, 2021 Accepting new patients
Greenville Proaxis Therapy LLC CurrentSince Aug 30, 2021 Accepting new patients
Prisma Health University Medical Group Past Accepting new patients
RSFH - Ati Physical Therapy, LLC Physical Therapist Past Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

33205 Collection Ctr Dr
Chicago, IL 60693

2642 Boiling Springs Rd
Boiling Springs, SC 29316

2646 Boiling Springs Rd
Boiling Springs, SC 29316
Phone (864) 345-6714

838 Powdersville Rd
Ste T
Easley, SC 29642
Phone (864) 671-1650

103 N Main St
Greenville, SC 29601
Phone (864) 936-0502

103 N Main St
Ste 201
Greenville, SC 29601
Phone (864) 528-5753

111 Doctors Dr
Greenville, SC 29605
Phone (864) 242-4683

905 Verdae Blvd
Ste 104
Greenville, SC 29607
Phone (864) 522-6100

2400 N Pleasantburg Dr
Ste D
Greenville, SC 29609
Phone (864) 268-9040

2 Doctors Dr
Greenville, SC 29605
Phone (864) 558-8955

200 Patewood Dr
Ste C150
Greenville, SC 29615
Phone (864) 454-0904

200 Patewood Dr
Ste C250
Greenville, SC 29615
Phone (864) 454-0952

315 Medical Pkwy
Ste 150
Greer, SC 29650
Phone (864) 695-1418

713 W Wade Hampton Blvd
Greer, SC 29650
Phone (864) 479-6084

203 E Butler Rd
#C
Mauldin, SC 29662
Phone (864) 268-6686

2615 Woodruff Rd
Ste 400
Simpsonville, SC 29681
Phone (864) 537-5016

727 SE Main St
Ste 200
Simpsonville, SC 29681
Phone (864) 454-6670

1400 W Georgia Rd
Ste 400
Simpsonville, SC 29680
Phone (864) 757-3053

2125 E Main St
Ste 400
Spartanburg, SC 29307
Phone (864) 285-3615

333 S Pine St
Spartanburg, SC 29302
Phone (864) 515-7500

36 S Main St
Ste B
Travelers Rest, SC 29690
Phone (864) 660-8200

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1625702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1598336646",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 MEDICAL PKWY STE 150",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296502456",
            "telephone_number": "864-797-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBBINS",
        "first_name": "JACQUELYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-08",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greer, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; 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.

Verify at the official NPI Registry.