Individual provider Active NPI

Wesley Talley, PT

  • Physical Therapist
  • Spartanburg, SC
National Provider Identifier
1811422553
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
333 S Pine St
Spartanburg, SC 29302-2622
Phone
(864) 515-7580
NPI assigned
May 1, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

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 Primary

Addresses

Primary practice location

333 S Pine St
Spartanburg, SC 29302-2622

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170815002550 SC Practitioner - Physical Therapist in Private Practice 6507138286 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greenville Proaxis Therapy LLCGroup PAC ID 0244267771, 221 clinicians

Practice addresses (Care Compare)

333 S Pine St
Spartanburg, SC 29302-2622
Phone (864) 515-7580

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8608SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Greenville Proaxis Therapy LLC CurrentSince Jun 5, 2017 Accepting new patients
Greenville Proaxis Therapy, LLC Physical Therapist CurrentSince Jun 5, 2017 Accepting new patients
Prisma Health University Medical Group Past Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

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

838 Powdersville Rd
Ste T
Easley, SC 29642
Phone (864) 671-1650

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

103 N Main St
Greenville, SC 29601
Phone (864) 936-0502

2400 N Pleasantburg Dr
Ste D
Greenville, SC 29609
Phone (864) 268-9040

905 Verdae Blvd
Ste 104
Greenville, SC 29607
Phone (864) 522-6100

111 Doctors Dr
Greenville, SC 29605
Phone (864) 242-4683

2 Doctors Dr
Greenville, SC 29605
Phone (864) 558-8955

200 Patewood Dr
Ste C150
Greenville, SC 29615
Phone (864) 454-0904

200 Patewood Dr
Ste C250
Greenville, SC 29615
Phone (864) 454-0952

315 Medical Pkwy
Ste 150
Greer, SC 29650
Phone (864) 695-1418

713 W Wade Hampton Blvd
Greer, SC 29650
Phone (864) 479-6084

1305 S Suber Rd
Greer, SC 29650
Phone (864) 989-4609

203 E Butler Rd
#C
Mauldin, SC 29662
Phone (864) 268-6686

2615 Woodruff Rd
Ste 400
Simpsonville, SC 29681
Phone (864) 537-5016

727 SE Main St
Ste 200
Simpsonville, SC 29681
Phone (864) 454-6670

333 S Pine St
Spartanburg, SC 29302
Phone (864) 515-7500

2125 E Main St
Ste 400
Spartanburg, SC 29307
Phone (864) 285-3615

2660 Reidville Rd
Ste 6
Spartanburg, SC 29301
Phone (864) 576-3738

36 S Main St
Ste B
Travelers Rest, SC 29690
Phone (864) 660-8200

Organizations & group practices 3

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": "1493596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1811422553",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 S PINE ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293022622",
            "telephone_number": "864-515-7580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALLEY",
        "first_name": "WESLEY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-01",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; 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.