Individual provider Active NPI

Amy R Cantillion, MD

  • Physical Medicine & Rehabilitation Physician
  • Greenville, SC
National Provider Identifier
1659320695
Registry record updated Nov 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
27319 Issued in SC
Practice address
317 Saint Francis Dr Ste 310
Bon Secours Physical Medicine & Rehab
Greenville, SC 29601-3968
Phone
(864) 255-1920
Fax
(864) 679-8766
NPI assigned
May 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 27319 SC Primary

Addresses

Primary practice location

317 Saint Francis Dr Ste 310
Bon Secours Physical Medicine & Rehab
Greenville, SC 29601-3968

Mailing address

PO Box 743294
Atlanta, GA 30374-3294
Phone (864) 255-1920

Other identifiers 2

IdentifierTypeStateIssuer
P00817236OtherSCRR MEDICARE
273199MedicaidSC

Other names 1

  • Amy E Robbins Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040716000590 SC Practitioner - Physical Medicine and Rehabilitation 6709865363 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours Medical Group Greenville Specialty Care LLC CurrentSince May 21, 2022 Accepting new patients
Bon Secours Medical Group Greenville Specialty Care LLC CurrentSince May 21, 2022 Accepting new patients
Greenville Health System Past Accepting new patients
St Francis Physician Services Inc Past Accepting new patients
Rehabilitation Associates of Colorado PC Physical Medicine & Rehabilitation PastSince Jan 1, 2023 Accepting new patients

Locations

317 Saint Francis Dr
Ste 340
Greenville, SC 29601
Phone (864) 255-1834

317 Saint Francis Dr
Ste 220
Greenville, SC 29601
Phone (864) 255-1901

317 Saint Francis Dr
Ste 310
Greenville, SC 29601
Phone (864) 233-2744

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479859200000",
    "number": "1659320695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743294",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743294",
            "telephone_number": "864-255-1920",
            "fax_number": "864-679-8766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 SAINT FRANCIS DR STE 310",
            "address_2": "BON SECOURS PHYSICAL MEDICINE & REHAB",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296013968",
            "telephone_number": "864-255-1920",
            "fax_number": "864-679-8766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTILLION",
        "first_name": "AMY",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-08",
        "last_updated": "2016-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "SC",
            "license": "27319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00817236",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "273199",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "ROBBINS",
            "middle_name": "E",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.