Individual provider Active NPI

Jan Cupid Musa, PHYSICAL THERAPIST

  • Physical Therapist
  • Greenville, SC
National Provider Identifier
1649823725
Registry record updated Jul 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1276015 Issued in TX
Practice address
534 Old Howell Rd
Greenville, SC 29615-2051
Phone
(864) 244-3626
Fax
(864) 244-6923
NPI assigned
Jul 18, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2019

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 1276015 TX Primary

Addresses

Primary practice location

534 Old Howell Rd
Greenville, SC 29615-2051

Mailing address

534 Old Howell Rd
Greenville, SC 29615-2051
Phone (864) 244-3626

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

LicenseStateTypeSpecialty
1276015TXMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1563408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563408000000",
    "number": "1649823725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 OLD HOWELL RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296152051",
            "telephone_number": "864-244-3626",
            "fax_number": "864-244-6923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 OLD HOWELL RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296152051",
            "telephone_number": "864-244-3626",
            "fax_number": "864-244-6923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSA",
        "first_name": "JAN CUPID",
        "name_prefix": "Mr.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-18",
        "last_updated": "2019-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1276015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; 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.