First Physical Therapy, LLC
Organization Active NPI Rehabilitation Clinic/Center · Simpsonville, SC
NPI 1689245607 · NPPES record last updated Oct 4, 2023
Key facts
- NPI
- 1689245607
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rehabilitation Clinic/Center 261QR0400X
- Legal business name
- FIRST PHYSICAL THERAPY, LLC
- Practice address
- 404 Harrison Bridge Rd Ste D
Simpsonville, SC 29680-7607 - Phone
- (419) 221-6717
- Fax
- (419) 222-0507
- NPI assigned
- Jul 9, 2021
- Organization subpart
- No
Authorized official
- Name
- Stephen Krzyminski
- Title
- Executive VP
- Phone
- (419) 221-6717
Other NPIs on the same Medicare enrollment 6
Corporate family (same tax ID) 11
Practitioners 45
-
Brittney Sube Adams, P.T., D.P.T.
-
Eric Michael Adams, PT, DPT
-
Emily Bellinger, PT, DPT
-
Jordan Birkhead Cuenin, PT, ATC
-
Samuel Dibrdige, PT, DPT
-
Christopher Michael Disisto Sr., PT DPT
-
Arlie Alexander Etherton, DPT, SCS
-
Leigh S. French, PT
-
Amanda Rena Fulwood, PT,DPT
-
Almario Gato, PTA
-
Victoria Elise Hall, PT, DPT
-
Shannon Miller Hicks, DPT
-
Austin D Holley, PT, DPT
-
Randal Huber Jr., PTA
-
Landon S Jennings, OTR/L
-
Erin Jordan, PT
-
Catherina M Matthee, RPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140430001203 | SC | Part a Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services | 0244258028 |
6 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Boiling Springs, SC; Duncan, SC; Easley, SC; Greenville, SC; Powdersville, SC; Simpsonville, SC; Spartanburg, SC |
National Provider Directory
- Tax ID family
- Cora Physical Therapy
Locations
21 Gateway Corners Park
Ste 102
Columbia, SC 29203
Phone (803) 699-9775
5508 Calhoun Memorial Hwy
Ste D
Easley, SC 29640
Phone (864) 606-0408
105 E Hugh St
North Augusta, SC 29841
Phone (706) 650-7799
100 Dreher Rd
Ste 100
West Columbia, SC 29169
Phone (803) 525-7080
109 Midlands Ct
#B
West Columbia, SC 29169
Phone (803) 461-0982
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | Yes |
Addresses
Primary practice location
404 Harrison Bridge Rd Ste D
Simpsonville, SC 29680-7607
Mailing address
PO Box 150
Lima, OH 45802-0150
Phone (419) 221-6717
Other names
- CORA Physical Therapy - Simpsonville
Other providers in Simpsonville, SC
- James Alexander Ferguson IV
- Sierra Renee Feser
- Katharine Atkins Few
- Kathleen Lee Fiddie
- Ashton Stevens Finley
- Christine Rister Fisher
- Fit for a King
- Five Forks Chiropractic PA
- Five Forks Dental Care, Inc
- Five Forks Pharmacy LLC
All providers in Simpsonville, SC · Rehabilitation Clinic/Center in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.