NPIMap

Organization Active NPI

Accelerated Physical Therapy PA

  • Physical Therapy Clinic/Center
  • Travelers Rest, SC
National Provider Identifier
1770637639
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ACCELERATED PHYSICAL THERAPY PA
Practice address
6717 State Park Rd
Travelers Rest, SC 29690-1831
Phone
(864) 610-9641
Fax
(864) 610-9644
NPI assigned
Jan 22, 2007
Last updated
Dec 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2024

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

Authorized official

Name
Roger BachourNPI 1720092026
Title
President/Owner
Phone
(864) 233-4477

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 Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

6717 State Park Rd
Travelers Rest, SC 29690-1831

Mailing address

8 South Poinsett Highway
Travelers Rest, SC 29690
Phone (864) 610-9641

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050411000991 SC Part B Supplier - Clinic/Group Practice 5698712735 Receives reassigned benefits from 8 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Greer, SC; Travelers Rest, SC; Simpsonville, SC; Greenville, SC

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Accelerated Physical Therapy PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6717 State Park Rd
Travelers Rest, SC 29690
Phone (864) 610-9641

8 S Poinsett Hwy
Travelers Rst, SC 29690
Phone (864) 610-9641

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735603200000",
    "number": "1770637639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 SOUTH POINSETT HIGHWAY",
            "city": "TRAVELERS REST",
            "state": "SC",
            "postal_code": "29690",
            "telephone_number": "864-610-9641",
            "fax_number": "864-610-9644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6717 STATE PARK RD",
            "city": "TRAVELERS REST",
            "state": "SC",
            "postal_code": "296901831",
            "telephone_number": "864-610-9641",
            "fax_number": "864-610-9644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCELERATED PHYSICAL THERAPY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A",
        "authorized_official_last_name": "BACHOUR",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "864-233-4477"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Travelers Rest, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2024; 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.