Individual provider Active NPI

Kwaid Fears

  • Physical Therapist
  • Boiling Springs, SC
National Provider Identifier
1750186763
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12722 Issued in SC
Practice address
2646 Boiling Springs Rd
Boiling Springs, SC 29316-6002
Phone
(864) 345-6714
NPI assigned
Feb 14, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 12722 SC Primary

Addresses

Primary practice location

2646 Boiling Springs Rd
Boiling Springs, SC 29316-6002

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211
Phone (866) 370-8206

Other practice location 1

5977 E Grant Rd Ste 101
Tucson, AZ 85712-2369
Phone (520) 448-5700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250327000226 SC Practitioner - Physical Therapist in Private Practice 0042733305 Reassigns benefits to 1 organization
I20251229001493 AZ Practitioner - Physical Therapist in Private Practice 0042733305 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
Greenville Proaxis Therapy LLCGroup PAC ID 0244267771, 221 clinicians
Ati Holdings of Arizona LLCGroup PAC ID 2466732862, 223 clinicians

Practice addresses (Care Compare)

2646 Boiling Springs Rd
Boiling Springs, SC 29316-6002
Phone (864) 599-0799

5977 E Grant Rd
Suite 101
Tucson, AZ 85712-2341
Phone (520) 777-6746

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12722SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greenville Proaxis Therapy LLC CurrentSince Feb 10, 2025 Accepting new patients
Greenville Proaxis Therapy, LLC CurrentSince Feb 10, 2025 Accepting new patients
Ati Holdings of Arizona, LLC CurrentSince Feb 9, 2026 Accepting new patients
Ideal Rehabilitation LLC PastSince Feb 9, 2026 Accepting new patients

Locations

1485 E Florence Blvd
Ste 105
Casa Grande, AZ 85122
Phone (520) 494-3058

18773 S Nogales Hwy
Ste 105
Green Valley, AZ 85614
Phone (520) 477-3130

11209 N Tatum Blvd
Ste B120
Phoenix, AZ 85028
Phone (602) 595-0204

1020 S Harrison Rd
Unit 120
Tucson, AZ 85748
Phone (520) 207-6288

5977 E Grant Rd
Ste 101
Tucson, AZ 85712
Phone (520) 448-5700

33205 Collection Ctr Dr
Chicago, IL 60693

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

2646 Boiling Springs Rd
Boiling Springs, SC 29316
Phone (864) 345-6714

103 N Main St
Ste 201
Greenville, SC 29601
Phone (864) 528-5753

Organizations & group practices 9

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": "1739491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1750186763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211",
            "telephone_number": "866-370-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2646 BOILING SPRINGS RD",
            "city": "BOILING SPRINGS",
            "state": "SC",
            "postal_code": "293166002",
            "telephone_number": "864-345-6714"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5977 E Grant Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857122369",
            "country_code": "US",
            "telephone_number": "520-448-5700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FEARS",
        "first_name": "KWAID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-14",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "12722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boiling Springs, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; 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.

Verify at the official NPI Registry.