Organization Active NPI

Pathway Physical Therapy LLC

  • Physical Therapist
  • Spartanburg, SC
National Provider Identifier
1649828336
Registry record updated Aug 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PATHWAY PHYSICAL THERAPY LLC
Practice address
1595 Skylyn Dr Ste a
Spartanburg, SC 29307-1078
Phone
(864) 316-9191
NPI assigned
Aug 27, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2019

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

Authorized official

Name
Mark Bjelland
Title
Owner
Phone
(864) 316-9191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1595 Skylyn Dr Ste a
Spartanburg, SC 29307-1078

Mailing address

172 Stoneridge Dr
Chesnee, SC 29323-9560
Phone (864) 316-9191

National Provider Directory

National Provider Directory

Locations

1595 Skylyn Dr
Ste A
Spartanburg, SC 29307
Phone (864) 316-9191

NPI Registry JSON

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566864000000",
    "number": "1649828336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 STONERIDGE DR",
            "city": "CHESNEE",
            "state": "SC",
            "postal_code": "293239560",
            "telephone_number": "864-316-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1595 SKYLYN DR STE A",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293071078",
            "telephone_number": "864-316-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAY PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-27",
        "last_updated": "2019-08-27",
        "status": "A",
        "authorized_official_last_name": "BJELLAND",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-316-9191"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.