Active NPI
Pathway Physical Therapy LLC
- Physical Therapist
- Spartanburg, SC
National Provider Identifier
1649828336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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 DirectoryLocations
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.