Active NPI
Kwaid Fears
- Physical Therapist
- Boiling Springs, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12722
- 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
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 | 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, AZ
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLCAti Holdings of Arizona LLC
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12722 | SC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greenville Proaxis Therapy LLC | Current | Accepting new patients | |
| Greenville Proaxis Therapy, LLC | Current | Accepting new patients | |
| Ati Holdings of Arizona, LLC | Current | Accepting new patients | |
| Ideal Rehabilitation LLC | Past | 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.
-
- Durable Medical Equipment & Medical Supplies
- Greenville, SC
- NPI 1740052000
-
- Durable Medical Equipment & Medical Supplies
- Greer, SC
- NPI 1174037030
-
- Durable Medical Equipment & Medical Supplies
- Simpsonville, SC
- NPI 1205522356
-
- Durable Medical Equipment & Medical Supplies
- Easley, SC
- NPI 1528572484
-
- Durable Medical Equipment & Medical Supplies
- Spartanburg, SC
- NPI 1548774409
-
- Customized Equipment (DME)
- Seneca, SC
- NPI 1932645264
-
- Durable Medical Equipment & Medical Supplies
- Tucson, AZ
- NPI 1831353614
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.