Active NPI
PT Solutions of Acworth LLC
- Physical Therapist
- Spartanburg, SC
National Provider Identifier
1689248619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- PT SOLUTIONS OF ACWORTH LLC
- Practice address
- 1703 John B White Sr Blvd Ste F
Spartanburg, SC 29301-5486 - Phone
- (864) 754-3937
- Fax
- (864) 754-3936
- NPI assigned
- May 14, 2021
- Last updated
- May 14, 2021
- 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
- Carmen Philpot
- Title
- Revenue Cycle Director
- Phone
- (678) 403-3568
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
1703 John B White Sr Blvd Ste F
Spartanburg, SC 29301-5486
Mailing address
1100 Circle 75 Pkwy SE Ste 1400
Atlanta, GA 30339-3067
Phone (678) 981-3543
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20161216000347 | SC | Part B Supplier - Clinic/Group Practice | 0042291817 |
Receives reassigned benefits from 18 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Greenville, SC; Greer, SC |
Other NPIs on the same Medicare enrollment 5
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620950400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1620950400000",
"number": "1689248619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 CIRCLE 75 PKWY SE STE 1400",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303393067",
"telephone_number": "678-981-3543",
"fax_number": "404-777-1311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1703 JOHN B WHITE SR BLVD STE F",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293015486",
"telephone_number": "864-754-3937",
"fax_number": "864-754-3936"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PT SOLUTIONS OF ACWORTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-14",
"last_updated": "2021-05-14",
"certification_date": "2021-05-14",
"status": "A",
"authorized_official_last_name": "PHILPOT",
"authorized_official_first_name": "CARMEN",
"authorized_official_title_or_position": "REVENUE CYCLE DIRECTOR",
"authorized_official_telephone_number": "678-403-3568"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_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 May 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.