Individual provider Active NPI

Philip L Verjans, PT

  • Physical Therapy Clinic/Center
  • Florence, SC
National Provider Identifier
1740704493
Registry record updated Aug 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
1975 Issued in SC
Practice address
315 N Beltline Dr Ste D
Florence, SC 29501-7420
Phone
(843) 407-7010
NPI assigned
Aug 2, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 1975 SC Primary

Addresses

Primary practice location

315 N Beltline Dr Ste D
Florence, SC 29501-7420

Mailing address

1110 Hallie Dr
Florence, SC 29505-6357
Phone (843) 601-1375

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1975SCMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Profection Therapy LLC Physical Therapy Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501632000000",
    "number": "1740704493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 HALLIE DR",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295056357",
            "telephone_number": "843-601-1375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 N BELTLINE DR STE D",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295017420",
            "telephone_number": "843-407-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERJANS",
        "first_name": "PHILIP",
        "middle_name": "L",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-02",
        "last_updated": "2017-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "SC",
            "license": "1975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2017; 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.