Active NPI
Caleb Barr
- Physical Therapist
- Greer, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 713 W Wade Hampton Blvd
Greer, SC 29650-1307 - Phone
- (864) 479-6084
- Fax
- (864) 479-6091
- NPI assigned
- Aug 20, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | SC | Primary |
Addresses
Primary practice location
713 W Wade Hampton Blvd
Greer, SC 29650-1307
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240920001264 | SC | Practitioner - Physical Therapist in Private Practice | 6103367941 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
727 SE Main St
Suite 200
Simpsonville, SC 29681-3262
Phone (864) 454-6670
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greenville Proaxis Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Greenville Proaxis Therapy LLC | Current | Accepting new patients | |
| Prisma Health University Medical Group | Past | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
33205 Collection Ctr Dr
Chicago, IL 60693
2646 Boiling Springs Rd
Boiling Springs, SC 29316
Phone (864) 345-6714
200 Patewood Dr
Ste C150
Greenville, SC 29615
Phone (864) 454-0904
103 N Main St
Ste 201
Greenville, SC 29601
Phone (864) 528-5753
2127 Old Spartanburg Rd
Greer, SC 29650
Phone (864) 874-6593
315 Medical Pkwy
Ste 150
Greer, SC 29650
Phone (864) 695-1418
713 W Wade Hampton Blvd
Greer, SC 29650
Phone (864) 479-6084
2127 Old Spartanburg Rd
Unit A
Greer, SC 29650
727 SE Main St
Ste 200
Simpsonville, SC 29681
Phone (864) 454-6670
36 S Main St
Ste B
Travelers Rest, SC 29690
Phone (864) 660-8200
Organizations & group practices 3
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.
-
- Physical Therapist
- Greenville, SC
- NPI 1669457859
-
- Durable Medical Equipment & Medical Supplies
- Greenville, SC
- NPI 1740052000
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295763217
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724112000000",
"number": "1699508309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "713 W WADE HAMPTON BLVD",
"city": "GREER",
"state": "SC",
"postal_code": "296501307",
"telephone_number": "864-479-6084",
"fax_number": "864-479-6091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARR",
"first_name": "CALEB",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-08-20",
"last_updated": "2024-08-20",
"certification_date": "2024-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": null,
"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 Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.