Active NPI
Life Cycle Physical Therapy LLC
- Physical Medicine & Rehabilitation Physician
- Greer, SC
National Provider Identifier
1811600489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- LIFE CYCLE PHYSICAL THERAPY LLC
- Practice address
- 623 Tanager CT
Greer, SC 29650-3121 - Phone
- (864) 416-1355
- NPI assigned
- Dec 28, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sarah Hayley Haynes, DPT
- Title
- Owner
- Phone
- (864) 416-1355
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary |
Addresses
Primary practice location
623 Tanager CT
Greer, SC 29650-3121
Mailing address
623 Tanager CT
Greer, SC 29650-3121
Phone (864) 416-1355
Other names 1
- Life Cycle Physical Therapy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Greer, SC
- NPI 1003532458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672185600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1672185600000",
"number": "1811600489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "623 TANAGER CT",
"city": "GREER",
"state": "SC",
"postal_code": "296503121",
"telephone_number": "864-416-1355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "623 TANAGER CT",
"city": "GREER",
"state": "SC",
"postal_code": "296503121",
"telephone_number": "864-416-1355"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE CYCLE PHYSICAL THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-28",
"last_updated": "2022-12-28",
"certification_date": "2022-12-28",
"status": "A",
"authorized_official_last_name": "HAYNES",
"authorized_official_first_name": "SARAH",
"authorized_official_middle_name": "HAYLEY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "864-416-1355",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Life Cycle Physical Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Greer, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; 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.