Active NPI
Jennifer Rusher Thompson, PT
- Physical Therapist
- Anderson, SC
National Provider Identifier
1821048299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- SC4459
- Practice address
- Upstate Physical Therapy of Anderson. PA
120 Mutal Dr
Anderson, SC 29621 - Phone
- (509) 946-8497
- Fax
- (509) 946-8767
- NPI assigned
- May 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT4459 | SC | |
| Physical Therapist | 225100000X | PT60605610 | WA | |
| Physical Therapist | 225100000X | SC4459 | SC | Primary |
Addresses
Primary practice location
Upstate Physical Therapy of Anderson. PA
120 Mutal Dr
Anderson, SC 29621
Mailing address
Upstate Physical Therapy
120 Mutal Dr
Anderson, SC 29621
Phone (864) 261-3313
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0349713 | Other | WA | WA L&I |
| 1821048299 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Medical University of South Carolina College of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
120 Mutual Dr
Anderson, SC 29621-1767
Phone (864) 261-3313
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT4459 | SC | MD | Physical Therapist |
| SC4459 | SC | MD | Physical Therapist |
| 4459 | SC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upstate Rehab Services | Current | Accepting new patients | |
| Elite Integrated Therapy Centers, LLC | Physical Therapist | Past | Accepting new patients |
| Therapeutic Associates Inc | Physical Therapist | Past | Accepting new patients |
| Therapeutic Associates Inc | Physical Therapist | Past | Accepting new patients |
Locations
120 Mutual Dr
Anderson, SC 29621
Phone (864) 261-3313
Organizations & group practices 5
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.
-
- Physical Therapist
- Anderson, SC
- NPI 1568410751
-
- Rehabilitation Clinic/Center
- Anderson, SC
- NPI 1144815077
-
- Physical Therapist
- Greenville, SC
- NPI 1184673600
-
- Physical Therapist
- Bothell, WA
- NPI 1114376563
-
- Physical Therapist
- Portland, OR
- NPI 1700862000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755216000000",
"number": "1821048299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "UPSTATE PHYSICAL THERAPY",
"address_2": "120 MUTAL DR",
"city": "ANDERSON",
"state": "SC",
"postal_code": "29621",
"telephone_number": "864-261-3313",
"fax_number": "864-261-3371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "UPSTATE PHYSICAL THERAPY OF ANDERSON. PA",
"address_2": "120 MUTAL DR",
"city": "ANDERSON",
"state": "SC",
"postal_code": "29621",
"telephone_number": "509-946-8497",
"fax_number": "509-946-8767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "JENNIFER",
"middle_name": "RUSHER",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-10",
"last_updated": "2025-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "PT4459",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT60605610",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "SC4459",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA L&I",
"identifier": "0349713",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1821048299",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anderson, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.