Jennifer E Elder Reese, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

4921 Issued in SC

Practice address

3029 White Horse Rd
Greenville, SC 29611-7701

Phone

(864) 269-6131

NPI assigned

Jan 14, 2008

Last updated

Oct 23, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Millstone Healthcare Associates, P.a.

  • General Practice Physician
  • Greenville, SC
  • NPI 1811934730
  NPD (past)
• Sports Therapy and Advanced Rehabilitation, Inc.

  dba STAR Physical Therapy

  • Physical Therapy Clinic/Center
  • Austin, TX
  • NPI 1265441075
  NPD (past)

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1609052216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3029 WHITE HORSE RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296117701",
            "telephone_number": "864-269-6131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3029 WHITE HORSE RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296117701",
            "telephone_number": "864-269-6131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7401 W Highway 71",
            "address_2": "Suite 130",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787358260",
            "country_code": "US",
            "telephone_number": "512-288-2700",
            "fax_number": "512-288-2711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELDER REESE",
        "first_name": "JENNIFER",
        "middle_name": "E",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-14",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2037968",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "SC",
            "license": "4921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Assil Jihad El-Ghali
• Shereef Yehia El-Ibiary, MD
• Miller E Elam, RN
• Shushan Elam, CRNA
• Stacey Elam, FNP
• Jeffrey Wayne Elder, MD
• Joseph Elder, MD
• Samuel Mitchell Elder, LISW-CP
• Sydney N Eldridge
• Elevate Chiropractic LLC

• Physical Therapy Assistant in Greenville, SC
• Providers in Greenville, SC by specialty
• Physical Therapy Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.