NPIMap

Organization Active NPI

Premier Physical Therapy of the Upstate LLC

  • Physical Therapist
  • Greenville, SC
National Provider Identifier
1720148943
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PREMIER PHYSICAL THERAPY OF THE UPSTATE LLC
Practice address
14 Littlejohn Glen CT
Greenville, SC 29615-5791
Phone
(864) 288-2998
Fax
(864) 288-3522
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Authorized official

Name
Mark C Murphy, PTNPI 1407914724
Title
Owner
Phone
(864) 288-2998

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

14 Littlejohn Glen CT
Greenville, SC 29615-5791

Mailing address

14 Littlejohn Glen CT
Greenville, SC 29615-5791
Phone (864) 288-2998

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110520000151 SC Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7719163047 Receives reassigned benefits from 8 practitioners
Practice locations: Greenville, SC

National Provider Directory

National Provider Directory

Locations

14 Littlejohn Glen Ct
Greenville, SC 29615
Phone (864) 288-2998

1310 Garlington Rd
Ste A
Greenville, SC 29615
Phone (864) 288-2998

Practitioners & affiliated clinicians

Practitioners 10

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": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621814400000",
    "number": "1720148943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 LITTLEJOHN GLEN CT",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296155791",
            "telephone_number": "864-288-2998",
            "fax_number": "864-288-3522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 LITTLEJOHN GLEN CT",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296155791",
            "telephone_number": "864-288-2998",
            "fax_number": "864-288-3522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PHYSICAL THERAPY OF THE UPSTATE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-288-2998",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.

Verify at the official NPI Registry.