NPIMap

Organization Active NPI

Crunk Physical Therapy

  • Orthopedic Physical Therapist
  • Greer, SC
National Provider Identifier
1659314532
Registry record updated Oct 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
5100 Issued in SC
Legal business name
CRUNK PHYSICAL THERAPY
Practice address
105A Regency Commons Dr
Greer, SC 29650-5210
Phone
(864) 373-9520
Fax
(864) 237-3952
NPI assigned
Jun 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2008

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

Authorized official

Name
Ms. Gwen I Jones
Title
Office Manager
Phone
(864) 373-9520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X 5100 SC Primary

Addresses

Primary practice location

105A Regency Commons Dr
Greer, SC 29650-5210

Mailing address

105A Regency Commons Dr
Greer, SC 29650-5210
Phone (864) 373-9520

National Provider Directory

National Provider Directory

Locations

440 Roper Mountain Rd
Ste H2
Greenville, SC 29615
Phone (864) 284-0056

105A Regency Commons Dr
Greer, SC 29650
Phone (864) 373-9520

105 Regency Commons Dr
#A
Greer, SC 29650
Phone (864) 284-0056

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223251200000",
    "number": "1659314532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105A REGENCY COMMONS DR",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296505210",
            "telephone_number": "864-373-9520",
            "fax_number": "864-373-9522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105A REGENCY COMMONS DR",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296505210",
            "telephone_number": "864-373-9520",
            "fax_number": "864-237-3952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRUNK PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2008-10-06",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "GWEN",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "864-373-9520",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "SC",
            "license": "5100",
            "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 Oct 6, 2008; 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.