Individual provider Active NPI

Timothy Varghese, PT

  • Physical Therapist
  • Greenville, SC
National Provider Identifier
1740521350
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7057 Issued in SC
Practice address
117 Haywood Rd
Greenville, SC 29607-3422
Phone
(864) 558-7346
NPI assigned
Mar 6, 2013
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 7057 SC Primary
Orthopedic Physical Therapist 2251X0800X 7057 SC

Addresses

Primary practice location

117 Haywood Rd
Greenville, SC 29607-3422

Mailing address

204 Lowndes Ave
Greenville, SC 29607-1434
Phone (864) 558-7346

Other practice location 1

315 Medical Pkwy
Ste 150
Greer, SC 29650-2456
Phone (864) 797-9600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7057SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Movement Solutions, LLC Current Accepting new patients
Prisma Health University Medical Group Past Accepting new patients

Locations

117 Haywood Rd
Greenville, SC 29607
Phone (864) 558-7346

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1362528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1740521350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 LOWNDES AVE",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296071434",
            "telephone_number": "864-558-7346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 HAYWOOD RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296073422",
            "telephone_number": "864-558-7346"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 Medical Pkwy",
            "address_2": "Ste 150",
            "address_purpose": "LOCATION",
            "city": "Greer",
            "state": "SC",
            "postal_code": "296502456",
            "country_code": "US",
            "telephone_number": "864-797-9600",
            "fax_number": "864-797-9602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VARGHESE",
        "first_name": "TIMOTHY",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-06",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "7057",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "SC",
            "license": "7057",
            "primary": false
        }
    ],
    "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 Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.